SHANNON DAWN ZUNDEL (PA-C) – Physician Assistant, NPI 1356665509

SHANNON DAWN ZUNDEL (PA-C) is a healthcare provider. based in Dalton, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 005735 (GA). The NPI Number for SHANNON DAWN ZUNDEL (PA-C) is 1356665509

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON DAWN ZUNDEL (PA-C)
NPI
1356665509
Phone
(706) 279-2635
Address
1413 CHATTANOOGA AVE
Enumeration Date
17 March 2010
Last Update Date
5 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7062792635
Graduation Year
2009 (17 years ago)
PAC ID
3779806344
Group Practice PAC ID
6709875297
Professional Enrollment ID
I20150107000238
Address ID
GA300873456ST1940XCTXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:16State licenses:1Digital endpointsOther names

4,431 PHYSICIAN ASSISTANT in GA

Provider Addresses for SHANNON DAWN ZUNDEL (PA-C)

  • 1413 CHATTANOOGA AVE

    DALTON, GA 307202631

    Phone: (706) 279-2635

    Fax: (706) 279-2679

    Type: Mailing

  • 715 Queen City Pkwy Ste 106

    Gainesville, GA 305014335

    Phone: (678) 450-1222

    Fax: (706) 279-2679

    Type: Location

  • 322 ESTATES VIEW DR

    ACWORTH, GA 301016013

    Phone: (215) 222-1218

    Type: Mailing

  • Professional Court, Calhoun, Gordon County, Georgia, 30701, United States

    CALHOUN, GA 30701

    Phone: (706) 383-3189

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 38 Open Payments records for all available years, with a total value of $517.

Total Amount is formed as General ($517) + Research ($0) + Ownership ($0) = $517.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($312).

Total Amount

$517

General + Research + Ownership

Payments

38

Total payment records

General Amount

$517

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2015-01-07

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
I20150107000238IPhysician AssistantGATBD

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 30720)

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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: 6709875297View full group profile
NameSpecialtyState
Interventional Pain Management, Pain Management, AnesthesiologyGA
-GA
Pain Management, AnesthesiologyGA
Pain Management, AnesthesiologyVA

Reviews

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Frequently asked questions

What is SHANNON DAWN ZUNDEL (PA-C)'s NPI number?
SHANNON DAWN ZUNDEL (PA-C)'s NPI is 1356665509 — the number used across U.S. healthcare to identify this provider.
Is SHANNON DAWN ZUNDEL (PA-C) still an active registrant?
SHANNON DAWN ZUNDEL (PA-C) carries an active NPI according to the public dataset.
What area of care is associated with SHANNON DAWN ZUNDEL (PA-C)?
SHANNON DAWN ZUNDEL (PA-C)'s record emphasizes Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for SHANNON DAWN ZUNDEL (PA-C)?
Travel planning: use Dalton, Georgia as the reference point for SHANNON DAWN ZUNDEL (PA-C), then confirm.
When was this NPI issued?
Enumeration for SHANNON DAWN ZUNDEL (PA-C) is noted as March 17, 2010 where the registry provides it.

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