MS. Shannon Dre Chisholm, PA-C
MS. Shannon Dre Chisholm, PA-C is a Physician Assistant in Daytona Beach, Florida. Qualified in 1999, 27 years ago. Practices with Halifax Healthcare Systems Inc, a 339-clinician group and accepts Medicare assignment. Licensed in Florida and Texas.
- Years since qualifying
- 27
- Licensed in
- FL, TX
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
595 N Williamson BlvdDaytona Beach, FL 32114-7185
Phone: (872) 231-3162
Fax: (702) 977-1496
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA9107966 (FL) |
|---|---|
| Surgical Physician Assistant | Taxonomy 363AS0400X · Licence PA02625 (TX) |
Record details
| NPI number | 1700824638 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | Yes |
| NPI enumerated | June 3, 2006 |
| Last updated in NPPES | October 3, 2025 |
| Certification date | October 3, 2025 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 1999 (27 years in practice) |
| Group practice | Halifax Healthcare Systems Inc — 339 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Daytona Beach
-
Lucas Scott Corbin
1865 Lpga Blvd, Daytona Beach, FL 32117-7108 · (386) 255-4596
-
Sarah Ann D'Alessandro, PA
1075 Mason Ave, Daytona Beach, FL 32117-4611 · (386) 255-4596
-
Mr. Paul Michael Lee Grenelle, PA
303 No Clyde Morris Blvd Halifax Medical Ctr, Daytona Beach, FL 32114-2709 · (386) 425-2285
-
Chandler Melton, PA
1865 Lpga Blvd, Daytona Beach, FL 32117-7108 · (386) 255-4596