Shannon T Willis, MD
Hospitalist in Lawrenceville, Georgia
1487971263- Practice location
- 1000 Medical Center Blvd, Ground Floor Gme Office, Lawrenceville, GA 30046-7694
- Phone
- 706-593-1389
- Fax
- —
- Last updated
- June 12, 2025
Shannon Teresa Willis is a Hospitalist based in Lawrenceville, GA. Shannon Teresa Willis practices in Lawrenceville, GA and has the professional credentials of MD. The NPI Number for Shannon Teresa Willis is 1487971263 and holds a License No. 075178 (GA). The current practice location address for Shannon Teresa Willis is 1000 Medical Center Blvd, Ground Floor Gme Office, Lawrenceville, GA 30046-7694 and can be reached out via phone at 706-593-1389.
Provider Profile Details
- NPI Number
- 1487971263
- Provider Name
- Shannon Teresa Willis
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1000 Medical Center Blvd, Ground Floor Gme Office, Lawrenceville, GA 30046-7694
- Phone Number
- 706-593-1389
- Primary Taxonomy
- Hospitalist · 208M00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 3, 2010
- Last Update Date
- June 12, 2025
- Certification Date
- June 12, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1000 Medical Center Blvd
Ground Floor Gme Office
Lawrenceville, GA 30046-7694 - City
- Lawrenceville
- State
- Georgia
- Zip
- 30046-7694
- Phone Number
- 706-593-1389
Provider Business Mailing Address Details
- Address
- 1000 Medical Center Blvd
Ground Floor Gme Office
Lawrenceville, GA 30046-7694 - City
- Lawrenceville
- State
- GA
- Zip
- 30046-7694
- Phone Number
- 706-593-1389
License Information
- License Number (1)
- 075178
- License State (1)
- GA
- Taxonomy (1)
- Internal Medicine · 207R00000X
- License Number (2)
- MD29422
- License State (2)
- ME
- Taxonomy (2)
- Internal Medicine · 207R00000X
- License Number (3)
- MD29422
- License State (3)
- ME
- Taxonomy (3)
- Hospitalist · 208M00000X
- License Number (4)
- 075178
- License State (4)
- GA
- Taxonomy (4)
- Hospitalist · 208M00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Shannon T Willis, MD?
The NPI number of Shannon T Willis, MD is 1487971263. It was assigned on May 3, 2010 and is currently active in the NPPES registry.
What is the specialty of Shannon T Willis, MD?
Shannon T Willis, MD is registered under the primary taxonomy Hospitalist (code 208M00000X), licensed in GA under license number 075178.
Where does Shannon T Willis, MD practice?
The practice location is 1000 Medical Center Blvd, Ground Floor Gme Office, Lawrenceville, GA 30046-7694. The office can be reached at 706-593-1389 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1487971263 directly on the NPPES registry website.