Shannon Higgins Faires (NPI# 1316226616, PAC ID# 3577734516) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1316226616 |
| PAC ID by PECOS | 3577734516 |
| Professional Enrollment ID | I20110922000406 |
| Full Name | Shannon Higgins Faires |
| Organization Legal Name | GALEN MEDICAL GROUP, PC |
| Address |
2515 Desales Ave Suite 206 Chattanooga TN 37404-1100 |
| Phone Number | 4236988101 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2668377391 |
| Number of Group Practice Members | 72 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440091 | MEMORIAL HEALTHCARE SYSTEM, INC |
| Address | Phone | Organization |
|---|---|---|
| 1651 Gunbarrel Rd, Suite 102, Chattanooga, TN 37421-3291 | 4233080390 | GALEN MEDICAL GROUP, PC |
| 2515 Desales Ave, Suite 206, Chattanooga, TN 37404-1100 | 4236988101 | GALEN MEDICAL GROUP, PC |
| Organization Legal Name | GALEN MEDICAL GROUP, PC |
| Physicians | 78 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Kathleen Shuster | Dermatology | Galen Medical Group, PC | 1720 Gunbarrel Rd, Suite 410, Chattanooga, TN 37421-4144 |
| Charles Robert Bosshardt | Gastroenterology | Galen Medical Group, PC | 4700 Battlefield Pkwy, Suite 300, Ringgold, GA 30736-5169 |
| Allison L Goddard | Dermatology | Galen Medical Group, PC | 5864 Hwy 153, Suite 112, Hixson, TN 37343-5187 |
| Misty Amber Gilliland | Nurse Practitioner | Galen Medical Group, PC | 1651 Gunbarrel Rd, Suite 301, Chattanooga, TN 37421-3291 |
| Alicia R Allen | Obstetrics/gynecology | Galen Medical Group, PC | 4976 Alpha Ln, Hixson, TN 37343-5470 |
| Elizabeth D Mabry | Ophthalmology | Galen Medical Group, PC | 1210 Premier Dr, Suite 110, Chattanooga, TN 37421-3747 |
| Ronald W Jarl | Family Medicine | Galen Medical Group, PC | 4980 Alpha Ln, Hixson, TN 37343-5470 |
| Robert R Sciulli Jr. | Physician Assistant | Galen Medical Group, PC | 4976 Alpha Ln, Hixson, TN 37343-5470 |
| Mark A Steele | Obstetrics/gynecology | Galen Medical Group, PC | 4976 Alpha Ln, Hixson, TN 37343-5470 |
| Misty Mullins | Registered Dietitian Or Nutrition Professional | Galen Medical Group, PC | 4976 Alpha Ln, Hixson, TN 37343-5470 |
| Street Address |
2515 DESALES AVE SUITE 206 |
| City | CHATTANOOGA |
| State | TN |
| Zip | 37404-1100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leonard J Hays Iii | Cardiovascular Disease (cardiology) | 2515 Desales Ave, Suite 204, Chattanooga, TN 37404-1100 | |
| Alan F Shikoh | Gastroenterology | Galen Medical Group, PC | 2515 Desales Ave, Suite 206, Chattanooga, TN 37404-1100 |
| Destin N Griffin-trussell | Nurse Practitioner | Galen Medical Group, PC | 2515 Desales Ave, Suite 206, Chattanooga, TN 37404-1100 |
| Prabhu K Potluri | Anesthesiology | American Anesthesiology of Tennessee PC | 2515 Desales Ave, Chattanooga, TN 37404-1100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cindi L Cross | Nurse Practitioner | Memorial Health Care System Inc. | 2525 De Sales Ave, Suite F1009, Chattanooga, TN 37404 |
| Michael L Reeves | Endocrinology | 725 Glenwood Ave, Suite E 688, Chattanooga, TN 37404 | |
| Robert L Huang | Interventional Cardiology | Memorial Health Care System Inc. | 2525 De Sales Ave, Suite F1009, Chattanooga, TN 37404 |
| Gregg S Shander | Cardiac Electrophysiology | Memorial Health Care System Inc. | 2525 De Sales Ave, Suite F1009, Chattanooga, TN 37404 |
| Alan Arthur Simeone | Cardiac Surgery | Memorial Health Care System Inc. | 2525 De Sales Ave, Suite F1009, Chattanooga, TN 37404 |
| William F Oellerich | Cardiovascular Disease (cardiology) | Memorial Health Care System Inc. | 2525 De Sales Ave, Suite F1009, Chattanooga, TN 37404 |
| Kelly Richardson | Cardiac Electrophysiology | Memorial Health Care System Inc. | 2525 De Sales Ave, Suite F1009, Chattanooga, TN 37404 |
| Gregory A Evans | Nurse Practitioner | Memorial Health Care System Inc. | 2525 De Sales Ave, Suite F1009, Chattanooga, TN 37404 |
| Ingrid M Fortuna | Nurse Practitioner | Memorial Health Care System Inc. | 2525 De Sales Ave, Suite F1009, Chattanooga, TN 37404 |
| Sharon Nancy Farber | Neurology | 721 Glenwood Dr, 467w, Chattanooga, TN 37404-1106 | |
| Find all physicians in zip 37404 | |||
| City | CHATTANOOGA |
| Zip Code | 37404 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CHATTANOOGA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Shannon Higgins Faires.
| 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.