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

Shannon Overholt

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1730717570

Shannon Overholt is an Emergency Medicine in Orange Park, Florida. Graduated from University of Mississippi School of Medicine in 2020, 6 years ago. Practices with Paragon Emergency Services LLC, a 406-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
6
Trained at
University of Mississippi School of Medicine
Licensed in
FL
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone: (904) 639-2000
Fax: (904) 639-2015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 155780 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1730717570
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 28, 2020
Last updated in NPPESJune 3, 2022
Certification dateMarch 2, 2022
Mailing address2001 Kingsley Ave, Orange Park, FL 32073-5148

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Paragon Emergency Services Llc — 406 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Orange Park