SHANNON REYNOLDS (NP) – Family Nurse Practitioner, NPI 1194133348

SHANNON REYNOLDS (NP) is a healthcare provider. based in Macon, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. RN173458 (GA). The NPI Number for SHANNON REYNOLDS (NP) is 1194133348

Main info

Female
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON REYNOLDS (NP)
NPI
1194133348
Phone
(478) 745-4322
Address
890 2ND ST
Enumeration Date
31 July 2014
Last Update Date
31 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4787454322
Graduation Year
2014 (12 years ago)
PAC ID
6103047063
Group Practice PAC ID
7810885506
Professional Enrollment ID
I20141020000669
Address ID
GA310612475MI1520XSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:11State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for SHANNON REYNOLDS (NP)

  • 890 2ND ST

    SUITE 201

    MACON, GA 312016863

    Phone: (478) 745-4322

    Type: Mailing

  • 890 2ND ST STE 201

    MACON, GA 312016863

    Phone: (478) 745-4322

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 59 Open Payments records for all available years, with a total value of $1,156.

Total Amount is formed as General ($1,156) + Research ($0) + Ownership ($0) = $1,156.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($244).

Total Amount

$1,156

General + Research + Ownership

Payments

59

Total payment records

General Amount

$1,156

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

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: 2014-10-20

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
I20141020000669INurse PractitionerGATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes287115$0
90961Dialysis services, 2-3 physician visits per month (20 years or older)4616$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes4140$0
View full utilization report →

Insurance plans in this area (ZIP 31201)

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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: 7810885506View full group profile
NameSpecialtyState
Nephrology, Internal MedicineGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Nephrology, Internal MedicineGA
N E P H R O L O G YGA
Nephrology, Internal MedicineGA
Nurse PractitionerGA
Nephrology, Internal MedicineGA

Reviews

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Frequently asked questions

Can I use this page to confirm SHANNON REYNOLDS (NP)'s NPI?
Yes. SHANNON REYNOLDS (NP) is listed with NPI 1194133348 in the public NPI dataset.
Does the file indicate SHANNON REYNOLDS (NP) is practicing under active NPI?
Directory data currently reports SHANNON REYNOLDS (NP) as active.
What is SHANNON REYNOLDS (NP) best known for clinically?
Directory data describes SHANNON REYNOLDS (NP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect SHANNON REYNOLDS (NP) on a map?
Expect Macon, Georgia as a primary anchor for SHANNON REYNOLDS (NP) unless the record lists multiple sites.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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