Shanice Shannon, PA
NPI 1730840083ActiveIndividual· Physician Assistant· Stockbridge, GA
Physician Assistant (PA) with South Atlanta Ear Nose and Throat PC, practicing in Stockbridge, Georgia. 152 Medicare patients in 2024, $20,512 paid; nearly all of their 321 Part D prescriptions were generic (98%). Glaxosmithkline, LLC. reported $13.72 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1730840083 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | Yes |
| NPI issued | Jan 7, 2022 |
| Last updated in NPPES | Mar 26, 2025 |
| Certified by provider | Mar 26, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 152 |
|---|---|
| Services billed | 313 across 13 procedure codes |
| Paid by Medicare | $20,512 |
Part D prescriptions in 2024
| Prescriptions (claims) | 321 · 406 30-day fills |
|---|---|
| Patients | 159 |
| Total drug cost | $6,116 |
| Generic share | 98% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- South Atlanta Ear Nose and Throat PCFayetteville, GA · 13 clinicians
Industry payments (Open Payments)
- 2025$13.72 · 1 payment from 1 company
- 2024$38.01 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Glaxosmithkline, LLC. | $13.72 | 1 |
What the 2025 payments were for
- Food and Beverage$13.72 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 54 physician assistants in Stockbridge · All physician assistants in Georgia