Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shannon Duffy, MMSC, PA-C

Individual provider Physician Assistant · NPI 1902577604

Shannon Duffy, MMSC, PA-C is a Physician Assistant in Boulder, Colorado. Graduated from Emory University School of Medicine in 2022, 4 years ago. Practices with Rocky Mountain Dermatology, PC, a 3-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
4
Trained at
Emory University School of Medicine
Licensed in
GA
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2400 Spruce St Ste 101
Boulder, CO 80302-4716
Phone: (404) 321-4600
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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 11447 (GA)

Record details

NPI number1902577604
Entity typeIndividual (Type 1)
GenderFemale
Credentials MMSC , PA-C
Sole proprietorNo
NPI enumeratedSeptember 22, 2021
Last updated in NPPESAugust 13, 2025
Certification dateAugust 13, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice Rocky Mountain Dermatology, P.C. — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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