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

Individual provider Family Medicine Physician · NPI 1609885813

Mr. Shannon Mize, MD is a Family Practice in Cumming, Georgia. Graduated from Medical College of Georgia School of Medicine in 1976, 50 years ago. Practices as a sole proprietor. Licensed in Georgia.

Years since qualifying
50
Trained at
Medical College of Georgia School of Medicine
Licensed in
GA
In the registry since
2006
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

208 Hudson St
Cumming, GA 30040-2432
Phone: (770) 889-2090
Fax: (770) 781-4373
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 018866 (GA)

Record details

NPI number1609885813
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 5, 2006
Last updated in NPPESSeptember 19, 2024
Mailing address208 Hudson Street, Cumming, GA 30040-2432

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 1976 (50 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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