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

Shannon L Gilliam, PA

Individual provider Medical Physician Assistant · NPI 1972548584

Shannon L Gilliam, PA is a Physician Assistant in Waldorf, Maryland. Qualified in 2003, 23 years ago. Practices with Capital Critical Care, LLC, a 19-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
23
Licensed in
MD
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

12070 Old Line Ctr Ste 303
Waldorf, MD 20602-3535
Phone: (301) 893-2505
Show map & directions

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

Additional practice locations (1)

  • 1500 Forest Glen Rd, Silver Spring, MD 20910-1483 — (301) 754-7000

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence C0003161 (MD)

Record details

NPI number1972548584
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 18, 2006
Last updated in NPPESFebruary 24, 2020
Certification dateFebruary 24, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Capital Critical Care, Llc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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