Shannon Mcdonnell Miller (NPI# 1255705281, PAC ID# 0244522233) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1255705281 |
PAC ID by PECOS | 0244522233 |
Professional Enrollment ID | I20170328001758 |
Full Name | Shannon Mcdonnell Miller |
Organization Legal Name | MARTHA JEFFERSON MEDICAL GROUP LLC |
Address |
29 Jefferson Ct Zion Crossroads VA 22942-9602 |
Phone Number | 4346548900 |
Gender | F |
Graduation Year | 2015 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 5991889081 |
Number of Group Practice Members | 163 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
490077 | SENTARA MARTHA JEFFERSON HOSPITAL |
Address | Phone | Organization |
---|---|---|
29 Jefferson Ct, Zion Crossroads, VA 22942-9602 | 4346548900 | MARTHA JEFFERSON MEDICAL GROUP LLC |
Organization Legal Name | MARTHA JEFFERSON MEDICAL GROUP LLC |
Physicians | 167 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kara Lynn Jacobs | Nurse Practitioner | Martha Jefferson Medical Group LLC | 15 Pratts Run, Suite 104, Waynesboro, VA 22980-6606 |
Aric Jordan Moran | Hospitalist | Martha Jefferson Medical Group LLC | 500 Martha Jefferson Dr, Charlottesville, VA 22911-4668 |
Jennifer Graham Stancil | Nurse Practitioner | Martha Jefferson Medical Group LLC | 65 Brickyard Dr, Dillwyn, VA 23936-3361 |
Mary Whittemore | Family Medicine | Martha Jefferson Medical Group LLC | 416 Albemarle Sq, Charlottesville, VA 22901-7400 |
Barrie Carveth | Nurse Practitioner | Martha Jefferson Medical Group LLC | 315 10th St Ne, Charlottesville, VA 22902-5316 |
Michael Q Potter | Hand Surgery | Martha Jefferson Medical Group LLC | 595 Martha Jefferson Dr, Suite 180, Charlottesville, VA 22911-4669 |
Stephen A Hoover | Hand Surgery | Martha Jefferson Medical Group LLC | 3263 Proffit Rd, Suite 203, Charlottesville, VA 22911-5639 |
Blake R Garmon | Internal Medicine | Martha Jefferson Medical Group LLC | 435 Merchant Walk Sq, Suite 400, Charlottesville, VA 22902-6516 |
Joseph Devon Lowdon | Internal Medicine | Martha Jefferson Medical Group LLC | 1011 E Jefferson St, Suite 202, Charlottesville, VA 22902-5354 |
Janelle B Gorski | Nurse Practitioner | Martha Jefferson Medical Group LLC | 590 Peter Jefferson Pkwy, Suite 100, Charlottesville, VA 22911-4628 |
Street Address |
29 JEFFERSON CT |
City | ZION CROSSROADS |
State | VA |
Zip | 22942-9602 |
Name | Specialty | Organization | Address |
---|---|---|---|
Phyllis B Montellese | Family Medicine | Martha Jefferson Medical Group LLC | 29 Jefferson Ct, Zion Crossroads, VA 22942-9602 |
Jessica C James | Family Medicine | Martha Jefferson Medical Group LLC | 29 Jefferson Ct, Zion Crossroads, VA 22942-9602 |
Andrew Richard Hawkins | Family Medicine | Martha Jefferson Medical Group LLC | 29 Jefferson Ct, Zion Crossroads, VA 22942-9602 |
Kasey Talley | Nurse Practitioner | Martha Jefferson Medical Group LLC | 29 Jefferson Ct, Zion Crossroads, VA 22942-9602 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jenilee V Lawrence | Internal Medicine | University of Virginia Physicians Group | 1015 Spring Creek Pkwy, Zion Crossroads, VA 22942-7019 |
Emily E Young | Family Medicine | University of Virginia Physicians Group | 1015 Spring Creek Pkwy, Zion Crossroads, VA 22942-7019 |
Luna A Asrar | Family Medicine | University of Virginia Physicians Group | 1015 Spring Creek Pkwy, Zion Crossroads, VA 22942-7019 |
Catherine Welford Varney | Family Medicine | University of Virginia Physicians Group | 1015 Spring Creek Pkwy, Zion Crossroads, VA 22942-7019 |
Flora Johnson Woolfolk | Physical Therapy | 17203 James Madison Hwy, Gordonsville, VA 22942-8519 | |
David B Cox | Family Medicine | 501 N Main St, Gordonsville, VA 22942-9137 | |
Jaime R Easton | Optometry | 34 Jefferson Ct, Suite B, Zion Crossroads, VA 22942-9602 |
City | ZION CROSSROADS |
Zip Code | 22942 |
Specialty | NURSE PRACTITIONER |
City + Specialty | ZION CROSSROADS + NURSE PRACTITIONER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.