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Dr. Larry Roland Shannon II, MD

Neurological Surgery Physician in Stockbridge, GA · enumerated 2009 · practices at Premier Family Wellness Center.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1275762429

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Registry record

Entity type Individual (Type 1)
Name Dr. Larry Roland Shannon II
Credential MD
Sex Male
Practice address 7444 Hannover Pkwy S Ste 225, Stockbridge, GA, 30281
Fax (404) 891-9299
Enumeration date Jul 9, 2009
Last updated in NPPES Aug 5, 2026

Taxonomy & licenses

207T00000X Neurological Surgery Physician Allopathic & Osteopathic Physicians · License 102882 (GA) Primary
207T00000X Neurological Surgery Physician Allopathic & Osteopathic Physicians · License 036.121453 (IL) Secondary
207T00000X Neurological Surgery Physician Allopathic & Osteopathic Physicians · License D72508 (MD) Secondary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Larry Shannon practice?
The practice location on file with NPPES is in Stockbridge, GA. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Larry Shannon?
The National Provider Identifier (NPI) for Larry Shannon is 1275762429, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-08-05.