Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Larry Roland Shannon II, MD

Individual provider Neurological Surgery Physician · NPI 1275762429

Dr. Larry Roland Shannon II, MD is a Neurosurgery in Stockbridge, Georgia. Qualified in 2004, 22 years ago. Practices with Legacy Brain and Spine LLC, a 7-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia, Illinois and Maryland.

Years since qualifying
22
Licensed in
GA, IL, MD
In the registry since
2009
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7444 Hannover Pkwy S Ste 225
Stockbridge, GA 30281-7847
Phone: (404) 882-3592
Fax: (404) 891-9299
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence 102882 (GA)
Neurological Surgery Physician Taxonomy 207T00000X · Licence 036.121453 (IL)
Neurological Surgery Physician Taxonomy 207T00000X · Licence D72508 (MD)

Record details

NPI number1275762429
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 9, 2009
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROSURGERY
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Legacy Brain And Spine Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Stockbridge