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

Shannon Teresa Willis, MD

Individual provider Internal Medicine Physician · NPI 1487971263

Shannon Teresa Willis, MD is a Hospitalist in Lawrenceville, Georgia. Graduated from Meharry Medical College School of Medicine in 2010, 16 years ago. Practices with Kings Daughters Medical Specialties Inc, a 387-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Georgia and Maine.

Years since qualifying
16
Trained at
Meharry Medical College School of Medicine
Licensed in
GA, ME
In the registry since
2010
Specialties on file
4
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

1000 Medical Center Blvd Ground Fl Gme Ofc
Lawrenceville, GA 30046-7694
Phone: (706) 593-1389
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1 Medical Center Dr, Biddeford, ME 04005-9422 — (207) 283-7937
  • 22 Bramhall St, Portland, ME 04102-3134 — (207) 662-4618
  • 25 June St, Sanford, ME 04073-2621 — (207) 324-4310

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 075178 (GA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 075178 (GA)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD29422 (ME)
Hospitalist Physician Taxonomy 208M00000X · Licence MD29422 (ME)

Record details

NPI number1487971263
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 3, 2010
Last updated in NPPESJune 12, 2025
Certification dateJune 12, 2025

Medicare enrollment

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

Medicare specialtyHOSPITALIST
Medical schoolMEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Kings Daughters Medical Specialties Inc — 387 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Lawrenceville