Shannon Dawn Coffee, FNP - Medicare Nurse Practitioner in Gray, GA

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Shannon Dawn Coffee, FNP is a medicare enrolled "Nurse Practitioner - Family" in Gray, Georgia. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Transitional Care Physicians Of Georgia Pc, Chronic Disease Management Of Georgia Llc and her current practice location is 1005 Boulder Dr, Gray, Georgia. You can reach out to her office (for appointments etc.) via phone at (478) 621-2100.

Shannon Dawn Coffee is licensed to practice in Georgia (license number RN149671) 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 1932650173.

Contact Information

Shannon Dawn Coffee, FNP
1005 Boulder Dr,
Gray, GA 31032
(478) 621-2100
(478) 744-0481

Map and Direction




Provider's Profile

Full NameShannon Dawn Coffee
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location1005 Boulder Dr, Gray, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shannon Dawn Coffee graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1932650173
  • Provider Enumeration Date: 10/24/2016
  • Last Update Date: 07/17/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5092097808
  • Enrollment ID: I20170130003105

Medical Identifiers

Medical identifiers for Shannon Dawn Coffee such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932650173NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN149671 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Transitional Care Physicians Of Georgia Pc44868950838
Chronic Disease Management Of Georgia Llc761830672165

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. Shannon Dawn Coffee allows following entities to bill medicare on her behalf.
Entity NameCommunity Primary Care Of Georgia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336492511
PECOS PAC ID: 0648421065
Enrollment ID: O20121113000274
Entity NameTransitional Care Physicians Of Georgia Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619317542
PECOS PAC ID: 4486895083
Enrollment ID: O20130724000471
Entity NameChronic Disease Management Of Georgia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699300939
PECOS PAC ID: 7618306721
Enrollment ID: O20200409003695
Entity NameCareconnectmd Georgia Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063034387
PECOS PAC ID: 5890115190
Enrollment ID: O20201026000194

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. Shannon Dawn Coffee 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
Shannon Dawn Coffee, FNP
1005 Boulder Dr,
Gray, GA 31032-6141

Ph: (478) 621-2100		Shannon Dawn Coffee, FNP
1005 Boulder Dr,
Gray, GA 31032

Ph: (478) 621-2100

Reviews and Comments


Nurse Practitioner Nurses in Gray, GA

Natalie F Evans, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 260 W Clinton St, Gray, GA 31032
Phone: 478-986-4743    
Mrs. Brenda Gail Tolleson, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1005 Boulder Dr, Gray, GA 31032
Phone: 478-621-2100    Fax: 478-744-0481
Mrs. Leslie Busbee Miller, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1005 Boulder Dr, Gray, GA 31032
Phone: 478-621-2100    Fax: 478-744-0481
Michael Kelly, APRN, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1005 Boulder Dr, Gray, GA 31032
Phone: 478-621-2100    Fax: 478-744-0481
Mrs. Marie Rosemonde Nozil, MSN, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1005 Boulder Dr, Gray, GA 31032
Phone: 678-334-7218    
Mrs. Catherine Marie Wilson, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1005 Boulder Dr, Gray, GA 31032
Phone: 478-621-2100    Fax: 478-744-0481
Jennifer Lee Clark, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1005 Boulder Dr, Gray, GA 31032
Phone: 478-621-2100    Fax: 478-744-0481

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.