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MRS. SHANNON A KELLER
NPI 1952521650
Counselor - Professional in Tucker, GA

Active since April 26, 2007PECOS Enrolled
4823 N ROYAL ATLANTA DR, SUITE C, TUCKER, GA 30084(770) 939-2121 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Shannon A Keller NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SHANNON A KELLER (NPI 1952521650) is an individual professional provider in Tucker, Georgia and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952521650
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. SHANNON A KELLER
Location Address4823 N ROYAL ATLANTA DR, SUITE CTucker, GA 30084-3806
Mailing Address1391 Delta CorsLawrenceville, GA 30045-5407 · (770) 982-3138
Phone(770) 939-2121
Sole ProprietorNo
Enumeration DateApril 26, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1952521650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
4823 N ROYAL ATLANTA DR, Tucker, GA 30084
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Shannon A Keller is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. BARBARA DEANNE BEATON M.S.
Counselor (Professional)
4823 N ROYAL ATLANTA DR
TUCKER, GA 30084
Dekalb County (770) 939-2121
LDS FAMILY SERVICES
Clinic/Center (Mental Health (Including Community Mental Health Center))
4823 N ROYAL ATLANTA DR
TUCKER, GA 30084
Dekalb County (770) 939-2121
BRIAN RUSSELL LCSW
Social Worker (Clinical)
4823 N ROYAL ATLANTA DR, C
TUCKER, GA 30084
Dekalb County (770) 939-2121
DR. DANIEL LEROY HATCH PH.D.
Psychologist (Clinical)
4823 N ROYAL ATLANTA DR
TUCKER, GA 30084
Dekalb County (770) 939-2121
CHRISTINE RAE JOLLEY LCSW
Social Worker (Clinical)
4823 N ROYAL ATLANTA DR
TUCKER, GA 30084
Dekalb County (770) 939-2121
DR. JEFFREY STEPHEN REBER PH.D.
Counselor (Professional)
4823 N ROYAL ATLANTA DR
TUCKER, GA 30084
Dekalb County (770) 939-2121
MR. CHRISTOPHER CURTIS YOUNG LCSW
Social Worker (Clinical)
4823 N ROYAL ATLANTA DR
TUCKER, GA 30084
Dekalb County (770) 939-2121
BRENDA CRAWFORD MSW
Counselor (Mental Health)
4823 N ROYAL ATLANTA DR
TUCKER, GA 30084
Dekalb County (925) 550-0506

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Keller's NPI number?

The NPI number for Shannon Keller is 1952521650. It was assigned to this individual provider in the NPPES registry on April 26, 2007.

Where is Shannon Keller located?

Shannon Keller practices at 4823 N Royal Atlanta Dr Suite C, Tucker, GA 30084. The listed phone number is (770) 939-2121.

What is Shannon Keller's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Shannon Keller enrolled in Medicare?

Yes. Shannon Keller is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shannon Keller was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.