DR. SHAWN C ANDERSON (DO) – Family Medicine Physician, NPI 1003831397

DR. SHAWN C ANDERSON (DO) is a healthcare provider. based in Atlanta, Georgia. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 16163 (MS). The NPI Number for DR. SHAWN C ANDERSON (DO) is 1003831397

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHAWN C ANDERSON (DO)
NPI
1003831397
Phone
(901) 226-3186
Address
PO BOX 749215
Enumeration Date
13 July 2006
Last Update Date
25 October 2024

Doctor Profile

Medical School Name
R FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Secondary Phone
6015532000
Graduation Year
1997 (29 years ago)
PAC ID
9335238898
Group Practice PAC ID
3274727318
Professional Enrollment ID
I20080527000508
Address ID
MS393014130ME2024XSTXX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

939 FAMILY PRACTICE in MS

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Provider Addresses for DR. SHAWN C ANDERSON (DO)

  • PO BOX 749215

    ATLANTA, GA 303749215

    Phone: (901) 226-3186

    Fax: (901) 226-3160

    Type: Mailing

  • 15th Street, Meridian, Lauderdale County, Mississippi, 39301, United States

    MERIDIAN, MS 393014130

    Phone: (601) 553-2000

    Fax: (601) 553-6873

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 83 Open Payments records for all available years, with a total value of $1,965.

Total Amount is formed as General ($1,965) + Research ($0) + Ownership ($0) = $1,965.

Last reported payment date: 2024-11-25 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($652).

Total Amount

$1,965

General + Research + Ownership

Payments

83

Total payment records

General Amount

$1,965

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-25

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-05-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080527000508IFamily PracticeMSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes619372$0
99213Established patient office or other outpatient visit, 20-29 minutes616331$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month34144$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes306108$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit113113$0
View full utilization report →

Insurance plans in this area (ZIP 30374)

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Provider's Procedures

DR. SHAWN C ANDERSON (DO) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEMS82270Stool analysis for blood to screen for colon tumors2020
FAMILY MEDICINEMS83036Hemoglobin A1C level165106

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274727318View full group profile
NameSpecialtyState
Nephrology, Internal MedicineLA
Nurse PractitionerMS
Family PracticeMS
-MS
O B S T E T R I C S/ G Y N E C O L O G YMS
Internal Medicine, Sleep Medicine, Internal MedicineMS
Internal MedicineMO
General PracticeMS
Family PracticeMS
Nurse PractitionerGA

Reviews

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Frequently asked questions

How do I look up DR. SHAWN C ANDERSON (DO) by NPI?
Use NPI 1003831397 when you need to reference DR. SHAWN C ANDERSON (DO) in forms, claims, or directories.
Is DR. SHAWN C ANDERSON (DO)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. SHAWN C ANDERSON (DO)'s specialty in plain language?
Clinically, the directory lists DR. SHAWN C ANDERSON (DO) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. SHAWN C ANDERSON (DO)?
The snapshot lists Atlanta, Georgia for DR. SHAWN C ANDERSON (DO); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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