SHANNON ASHLEY INCI (M.D.) – Obstetrics & Gynecology Physician, NPI 1255785366
Obstetrics & Gynecology Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,266 OBSTETRICS/GYNECOLOGY in GA
Provider Addresses for SHANNON ASHLEY INCI (M.D.)
51 HIRAM DR BLDG B
HIRAM, GA 301411844
Phone: (678) 945-8345
Type: Location
677, Church Street Northeast, Elizabeth, Marietta, Cobb County, Georgia, 30060, United States
MARIETTA, GA 300601101
Phone:
Type: Mailing
120 GREYSTONE POWER BLVD STE 100
DALLAS, GA 301578297
Phone: (678) 945-8345
Fax: (470) 956-1180
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $440.
Total Amount is formed as General ($440) + Research ($0) + Ownership ($0) = $440.
Last reported payment date: 2024-06-13 • Largest payer in this snapshot: W. L. Gore & Associates, Inc. ($161).
Total Amount
$440
General + Research + Ownership
Payments
15
Total payment records
General Amount
$440
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-13
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2025-01-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250129002019 | I | Obstetrics/Gynecology | CO | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30141)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CO | |
| Certified Nurse Midwife (Cnm) | CO | |
| Certified Nurse Midwife (Cnm) | CO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CO | |
| - | CO | |
| Nurse Practitioner | CO | |
| Physician Assistant | CO | |
| Physician Assistant | CO | |
| - | CO | |
| Certified Nurse Midwife (Cnm) | CO |
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