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Michael James Shannon , ATP

Technician, Other β€’ Tyler, TX

Active NPI 1922480326 Individual Practitioner Male Practitioner
Practice location in NPPES

12406 State Highway 155 S
Tyler, TX 757036446

Call 9035928931 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

12406 State Highway 155 S

Tyler, TX 757036446

Telephone 9035928931
Fax 9035928922
Organization at the Same NPPES Address or Phone
Access2mobility, Inc Facility NPI 1497707533

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Tyler and Texas

14 active clinicians are listed under Technician, Other with a practice address in Tyler, TX (773 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Tyler

0% of these 14 clinicians have the CMS telehealth indicator.

0% of these 14 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-08-28
Technician, Other Primary Specialty

NUCC Taxonomy Code: 247200000X

License # reported to NPPES TX 85900

A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Business Mailing Address November 30, 2020

Registered at 2407 WSW LOOP 323, TYLER, TX 75701 (Tel: 9035818844)

βœ…
NPI Profile Active June 22, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 22, 2015

Registered at 12406 STATE HIGHWAY 155 S, TYLER, TX 757036446 (Tel: 9035928931)

πŸ“
Business Mailing Address (Initial Record) June 22, 2015

Registered at 12406 STATE HIGHWAY 155 S, TYLER, TX 757036446 (Tel: 9035928931)

πŸ‘€
Provider Name / Credentials (Initial Record) June 22, 2015

Recorded as MICHAEL SHANNON, ATP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2015

Technician, Other (license number reported to NPPES: TX 85900)

🟒
Initial NPI Registration & Enumeration June 22, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1922480326
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 22, 2015
Last Update: August 28, 2024
Sole Proprietor: Yes

Mailing Address

2407 Wsw Loop 323

Tyler, TX 75701

Phone: 9035818844

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.