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NPI · 1972548584 · NPPES-sourced

Shannon Gilliam PA

ActiveMedical Physician Assistant
NPI Number
1972548584
Type 1 · Individual
Taxonomy Code
363AM0700X
Contact
(301) 893-2505
License MD · C0003161
Last Updated
Enumerated
Primary practice addressMD · 20602-3535
12070 Old Line Ctr Ste 303Waldorf, MD 20602-3535
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Also known as

  • Formerly known asZimmerman, Shannon L

Source: NPPES public registry.

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About this NPIWhat this record shows.

NPI 1972548584 is registered to Shannon Gilliam PA, a Medical Physician Assistant practising at 12070 Old Line Ctr Ste 303 in Waldorf, Maryland. Medical Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Shannon Gilliam PA has been enumerated in the National Provider Identifier (NPI) registry since 2006.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds 2 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Shannon Gilliam PA accepts. To confirm in-network status with your specific health plan, contact Shannon Gilliam PA directly at (301) 893-2505.

Frequently asked

Yes. NPI 1972548584 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Medical Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (301) 893-2505.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Shannon Gilliam PA is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy363AM0700X
Last updated
Enumerated
StatusActive
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