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

Shannon Simmons

Individual provider Gastroenterology Physician · NPI 1619210630

Shannon Simmons is a Gastroenterology in Providence, Rhode Island. Graduated from Warren Alpert Medical School of Brown University in 2013, 13 years ago. Practices with Lifespan Physician Group Inc, a 1,125-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
13
Trained at
Warren Alpert Medical School of Brown University
Licensed in
RI
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

593 Eddy St Apc 406
Providence, RI 02903-4923
Phone: (401) 444-5031
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence MD16784 (RI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1619210630
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 27, 2013
Last updated in NPPESDecember 28, 2022
Certification dateDecember 28, 2022
Mailing address593 Eddy St, Apc 406, Providence, RI 02903-4923

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Medical schoolWARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Graduated 2013 (13 years in practice)
Group practice Lifespan Physician Group Inc — 1125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Providence