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

Shannon Nisha Dellen, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1467958678

Shannon Nisha Dellen, MD is a General Surgery in Augusta, Georgia. Qualified in 2018, 8 years ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Georgia and Indiana.

Years since qualifying
8
Licensed in
GA, IN
In the registry since
2018
Specialties on file
3
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

1120 15th St
Augusta, GA 30912-0004
Phone: (706) 721-3672
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 5000 Gateway Blvd, Grovetown, GA 30813-3353 — (762) 622-4000
  • 1701 N Senate Blvd, Indianapolis, IN 46202-1239 — (317) 962-5317
  • 545 Barnhill Dr Ste 125, Indianapolis, IN 46202-5112 — (317) 274-4606

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 103463 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Surgery Physician Taxonomy 208600000X · Licence 01089536A (IN)

Record details

NPI number1467958678
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 5, 2018
Last updated in NPPESJuly 22, 2026
Certification dateJuly 22, 2026

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Wellstar Medical Group Llc — 3072 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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