Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Shannon Overholt

Emergency Medicine Physician in Orange Park, FL · enumerated 2020.

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

National Provider Identifier

1730717570

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Registry record

Entity type Individual (Type 1)

Name Shannon Overholt

Sex Male

Practice address 2001 Kingsley Ave, Orange Park, FL, 32073

Phone (904) 639-2000

Fax (904) 639-2015

Enumeration date Mar 28, 2020

Last updated in NPPES Jun 3, 2022

Taxonomy & licenses

390200000X Student in an Organized Health Care Education/Training Program Student, Health Care Secondary

207P00000X Emergency Medicine Physician Allopathic & Osteopathic Physicians · License 155780 (FL) Primary

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.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Shannon Overholt?

The National Provider Identifier (NPI) for Shannon Overholt is 1730717570, a Type 1 (individual) record in the CMS NPPES registry.

Where does Shannon Overholt practice?

The practice location on file with NPPES is in Orange Park, FL. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-06-03.