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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1225599657

Shannon Wheaton, PA-CERTIFIED is a Physician Assistant in Norfolk, Virginia. Qualified in 2019, 7 years ago. Practices with Intermountain Medical Group Denver LLC, a 567-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Colorado.

Years since qualifying
7
Licensed in
CO
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

2100 E Ocean View Ave Apt 37
Norfolk, VA 23518-6103
Phone: (678) 755-6308
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0007247 (CO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1225599657
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-CERTIFIED
Sole proprietorYes
NPI enumeratedMarch 28, 2019
Last updated in NPPESMarch 9, 2022
Certification dateMarch 9, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Intermountain Medical Group Denver Llc — 567 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in Norfolk