Mrs Alvina C Shannon, PA-C in Ellenwood, GA - Medicare Physician Assistant

Mrs Alvina C Shannon, PA-C is a medicare enrolled "Physician Assistant - Medical" in Ellenwood, Georgia. She went to Medical College Of Georgia School Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Wellstreet Of Georgia Pc and her current practice location is 4475 W Village Pkwy, Ellenwood, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 507-7950.

Mrs Alvina C Shannon is licensed to practice in Georgia (license number 002735) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1720244957.

Contact Information

	Mrs Alvina C Shannon, PA-C
	4475 W Village Pkwy, Ellenwood, GA 30294-2869
	(770) 507-7950
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Alvina C Shannon
Gender	Female
Speciality	Physician Assistant
Experience	29 Years
Location	4475 W Village Pkwy, Ellenwood, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Alvina C Shannon attended and graduated from Medical College Of Georgia School Of Medicine in 1995

NPI Data:

NPI Number: 1720244957
Provider Enumeration Date: 08/07/2008
Last Update Date: 12/17/2019

Medicare PECOS Information:

PECOS PAC ID: 1052445376
Enrollment ID: I20100823000043

Medical Identifiers

Medical identifiers for Mrs Alvina C Shannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720244957	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	002735 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wellstreet Of Georgia Pc	7517126279	384

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. Mrs Alvina C Shannon 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 Address	Practice Location Address
Mrs Alvina C Shannon, PA-C 4228 Park Place Cir, Ellenwood, GA 30294-1550 Ph: (404) 403-9793	Mrs Alvina C Shannon, PA-C 4475 W Village Pkwy, Ellenwood, GA 30294-2869 Ph: (770) 507-7950

Reviews and Comments

Physician Assistant Nurses in Ellenwood, GA

Samantha Holderfield, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2720 Quiktrip Way, Ellenwood, GA 30294 Phone: 470-582-5698
Mrs. Natisha Latrise Roberson-dunn, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 195 Fairview Rd, Ellenwood, GA 30294 Phone: 770-507-0112
Ja Na Monique Holyfield, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 211 Fairview Rd, Ellenwood, GA 30294 Phone: 678-289-6747 Fax: 678-289-6750
Ms. Michelle M Williams, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4475 W Village Pkwy, Ellenwood, GA 30294 Phone: 770-507-7950 Fax: 716-710-8082
Mr. Richard G Slipkovich, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 211 Fairview Rd, Ellenwood, GA 30294 Phone: 770-507-4554 Fax: 770-507-6413
Alvin Cephas, CST/CFA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 434 Midway Pt, Ellenwood, GA 30294 Phone: 770-985-4257 Fax: 770-985-4258

Mrs Alvina C Shannon, PA-C - Medicare Physician Assistant in Ellenwood, GA