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

Mitsuko P. Shannon, MD

Individual provider Child & Adolescent Psychiatry Physician · NPI 1689694374

Mitsuko P. Shannon, MD is a Psychiatry in Kings Mountain, North Carolina. Graduated from Jc Edwards School of Medicine, Marshall University in 1988, 38 years ago. Practices with Carolinas Medical Center, a 1,062-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
38
Trained at
Jc Edwards School of Medicine, Marshall University
Licensed in
NC
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

706 W King St
Kings Mountain, NC 28086-2708
Phone: (980) 487-5470
Show map & directions

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

Additional practice locations (3)

  • 501 Billingsley Rd, Charlotte, NC 28211-1009 — (704) 444-2400
  • 16740 Davidson Concord Rd, Davidson, NC 28036-8746 — (704) 444-2400
  • 5427 Nc Highway 49 S, Harrisburg, NC 28075-7408 — (704) 454-7268

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 9300804 (NC)
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X · Licence 9300804 (NC)

Record details

NPI number1689694374
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 19, 2006
Last updated in NPPESJuly 15, 2024
Certification dateApril 8, 2022

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolJC EDWARDS SCHOOL OF MEDICINE, MARSHALL UNIVERSITY
Graduated 1988 (38 years in practice)
Group practice Carolinas Medical Center — 1062 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations9 on file with Medicare