DR. JOHN E. SHANER (M.D.) – Internal Medicine Physician, NPI 1285624411

DR. JOHN E. SHANER (M.D.) is a healthcare provider. based in Brunswick, Georgia. specializing in Internal Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 35048658-S (OH). The NPI Number for DR. JOHN E. SHANER (M.D.) is 1285624411

Main info

Male
48 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN E. SHANER (M.D.)
NPI
1285624411
Phone
(912) 265-4735
Address
1692 GLYNCO PARKWAY
Enumeration Date
27 October 2005
Last Update Date
31 December 2013

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
9122899200
Graduation Year
1978 (48 years ago)
PAC ID
3779479514
Group Practice PAC ID
1052609302
Professional Enrollment ID
I20110504000094
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. JOHN E. SHANER (M.D.)

  • Brunswick Air National Guard Station, 1693, Glynco Parkway, Brunswick, Glynn County, Georgia, 31525, United States

    BRUNSWICK, GA 31525

    Phone: (912) 265-4735

    Fax: (912) 265-6100

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2011-05-04

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
I20110504000094IHospice/Palliative CareGATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31525)

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Reviews

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Frequently asked questions

Does DR. JOHN E. SHANER (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. JOHN E. SHANER (M.D.) uses 1285624411.
Does the file indicate DR. JOHN E. SHANER (M.D.) is practicing under active NPI?
Directory data currently reports DR. JOHN E. SHANER (M.D.) as active.
What healthcare role does DR. JOHN E. SHANER (M.D.) hold?
Scheduling teams often label DR. JOHN E. SHANER (M.D.) under Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. JOHN E. SHANER (M.D.) on a map?
Expect Brunswick, Georgia as a primary anchor for DR. JOHN E. SHANER (M.D.) unless the record lists multiple sites.
Why does DR. JOHN E. SHANER (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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