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

Shannon Rebecca Prevette, MD

Individual provider Family Medicine Physician · NPI 1780681510

Shannon Rebecca Prevette, MD is a Family Practice in San Antonio, Texas. Graduated from Brody School of Medicine at East Carolina University in 2000, 26 years ago. Practices with Conviva Medical Center Management of Texas, PA, a 148-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
26
Trained at
Brody School of Medicine at East Carolina University
Licensed in
TX
In the registry since
2005
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

18414 US Highway 281 N Ste 104
San Antonio, TX 78259-7611
Phone: (305) 500-2027
Fax: (210) 495-5914
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence L5881 (TX)

Record details

NPI number1780681510
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 7, 2005
Last updated in NPPESDecember 13, 2021
Certification dateDecember 13, 2021

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesINTERNAL MEDICINE
Medical schoolBRODY SCHOOL OF MEDICINE AT EAST CAROLINA UNIVERSITY
Graduated 2000 (26 years in practice)
Group practice Conviva Medical Center Management Of Texas, P.A. — 148 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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