Dr Shannon Scott Ellis, MD - Medicare Family Practice in Hoschton, GA

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Dr Shannon Scott Ellis, MD is a medicare enrolled "Family Medicine" physician in Hoschton, Georgia. He went to East Tennessee State University Quillen College Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Northeast Georgia Physicians Group Inc and his current practice location is 26 W Jackson Commons Dr, Hoschton, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 658-2452.

Dr Shannon Scott Ellis is licensed to practice in Georgia (license number 072568) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1124219563.

Contact Information

Dr Shannon Scott Ellis, MD
26 W Jackson Commons Dr,
Hoschton, GA 30548-1897
(706) 658-2452
Not Available

Map and Direction




Physician's Profile

Full NameDr Shannon Scott Ellis
GenderMale
SpecialityFamily Practice
Experience19 Years
Location26 W Jackson Commons Dr, Hoschton, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Shannon Scott Ellis attended and graduated from East Tennessee State University Quillen College Of Medicine in 2005
  NPI Data:
  • NPI Number: 1124219563
  • Provider Enumeration Date: 08/08/2007
  • Last Update Date: 10/06/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8022161082
  • Enrollment ID: I20140911002200

Medical Identifiers

Medical identifiers for Dr Shannon Scott Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124219563NPI-NPPES
5912656MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 072568 (Georgia)Primary
207Q00000XFamily Medicine 2007-01049 (North Carolina)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northeast Georgia Medical Center, IncGainesville, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northeast Georgia Physicians Group Inc6901898386651

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Shannon Scott Ellis allows following entities to bill medicare on his behalf.
Entity NameNortheast Georgia Physicians Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891745212
PECOS PAC ID: 6901898386
Enrollment ID: O20040402001277
Entity NameNortheast Georgia Physicians Group Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790875037
PECOS PAC ID: 3274535687
Enrollment ID: O20070214000012
Entity NameRural Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932586476
PECOS PAC ID: 8820305600
Enrollment ID: O20150910001722

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Shannon Scott Ellis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Shannon Scott Ellis, MD
Po Box 742616,
Atlanta, GA 30374-2616

Ph: (770) 219-8420		Dr Shannon Scott Ellis, MD
26 W Jackson Commons Dr,
Hoschton, GA 30548-1897

Ph: (706) 658-2452

Reviews and Comments


Family Medicine Doctors in Hoschton, GA

Dr. Alfred Marshall Martin Iii, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 5875 Thompson Mill Rd, Suite 100, Hoschton, GA 30548
Phone: 770-848-6195    Fax: 770-848-6196
Dr. Cortie J Rolison Iv, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 26 W Jackson Commons Dr, Hoschton, GA 30548
Phone: 770-848-9190    Fax: 706-658-2462
Dr. Marissa Maricel Armamento Mercado, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 26 W Jackson Commons Dr, Hoschton, GA 30548
Phone: 770-848-9190    
Dr. Lorrie Ann Richardson-oneal, M.D.
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 115 Towne Center Pkwy 114, Hoschton, GA 30548
Phone: 706-684-0588    Fax: 706-684-0753
Dr. Chadwick Marshall Palmer, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 5875 Thompson Mill Rd, Suite 280, Hoschton, GA 30548
Phone: 770-848-6190    Fax: 770-848-5367

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.