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

Shannon T. Hicks, MD

Individual provider Pediatrics Physician · NPI 1790136901

Shannon T. Hicks, MD is a Pediatrics Physician in Atlanta, Georgia. Licensed in Florida. Registered with an NPI since 2016.

Licensed in
FL
In the registry since
2016
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

2302 Parklake Dr NE
Atlanta, GA 30345-2896
Phone: (678) 894-0288
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence ME140317 (FL)

Record details

NPI number1790136901
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 29, 2016
Last updated in NPPESJune 9, 2021
Certification dateJune 9, 2021

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