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

Shannon S. Gulle, PA

Individual provider Physician Assistant · NPI 1265459010

Shannon S. Gulle, PA is a Physician Assistant in Savannah, Georgia. Qualified in 2006, 20 years ago. Practices with Optim Orthopedics LLC, a 102-clinician group and accepts Medicare assignment. Licensed in Florida and Georgia.

Years since qualifying
20
Licensed in
FL, GA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

210 E Derenne Ave
Savannah, GA 31405-6736
Phone: (912) 644-5300
Fax: (912) 644-5260
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 004842 (GA)
Physician Assistant Taxonomy 363A00000X · Licence PA 9104234 (FL)

Record details

NPI number1265459010
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 17, 2006
Last updated in NPPESJuly 23, 2013

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Optim Orthopedics Llc — 102 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Savannah