Shannon Mize, M.D.
NPI 1609885813 · Family Medicine Physician · Cumming, GA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shannon Mize, M.D. is a Family Medicine Physician provider in Cumming, GA (NPI 1609885813).
Provider details
- NPI number
- 1609885813
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 018866 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
908 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 309 | $90 |
| Office Or Other Outpatient Visit for the Evaluation and Management of Established Patient That May Not Require Presence of Healthcare Professional99211 | 198 | $23 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 184 | $119 |
| Subsequent Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 25 Minutes99231 | 149 | $48 |
| Hospital Discharge Day Management, 30 Minutes Or Less99238 | 28 | $79 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 85 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levothyroxine Sodium | 206 | 49 |
| Rosuvastatin Calcium | 173 | 53 |
| Amlodipine Besylate | 163 | 46 |
| Lisinopril | 148 | 39 |
| Atorvastatin Calcium | 148 | 40 |
| Apixabanbrand: Eliquis | 93 | 16 |
| Prednisone |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$36 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-05
- Last updated
- 2024-09-19
Frequently asked questions
- What is Shannon Mize's NPI number?
- Shannon Mize's National Provider Identifier (NPI) is 1609885813, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Mize's specialty?
- Shannon Mize is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Shannon Mize located?
- Shannon Mize's practice location on file with NPPES is 208 Hudson Street, Cumming, GA 30040-2432.
- What is Shannon Mize's phone number?
- The practice phone number listed in the NPPES registry for Shannon Mize is (770) 889-2090.
- Does Shannon Mize accept Medicare?
- Shannon Mize is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shannon Mize's NPI active?
- Yes — Shannon Mize's NPI (1609885813) is active in the NPPES registry as of the last update on 2024-09-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.