Individual provider

Shannon Dunlap, PHD

Clinical Psychologist Addiction (Substance Use Disorder) Counselor Professional Counselor Medicare enrolled

Shannon Dunlap, PHD is a Clinical Psychologist in Lagrange, GA, registered under NPI 1194950857. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 610 RIDLEY AVE, Lagrange, GA 30240. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

610 RIDLEY AVE, Lagrange, GA 30240 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
PSY003497 GA Clinical Psychologist primary
202201 GA Addiction (Substance Use Disorder)…
LPC004718 GA Professional Counselor

This provider holds licence PSY003497 issued in GA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Clinical Psychologist
PAC ID
1254555444
Enrollment ID
I20140609001710

Medicare enrolment is recorded as approved under the provider type Practitioner - Clinical Psychologist. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Clinical covers

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. NUCC Health Care Provider Taxonomy, code 103TC0700X
Behavioral Health & Social Service Providers Psychologist Clinical

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
103TC0700X Clinical Psychologist Clinical PSY003497 GA primary
101YA0400X Addiction (Substance Use Disorder) Counselor Addiction (Substance Use Disorder) 202201 GA
101YP2500X Professional Counselor Professional LPC004718 GA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1194950857 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMay 26, 2009
Last updatedFeb 3, 2016
StatusActive
Sole proprietorYes
CredentialPHD
Practice address 610 RIDLEY AVE
Lagrange, GA 30240
(706) 884-5050
Fax (706) 884-5056
This record was last updated on Feb 3, 2016, roughly 10 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1194950857 passes the NPI check digit test The final digit 7 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 9 4 9 5 0 8 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 9 4 9 5 0 8 1

Sum = 63 · next multiple of 10 = 70 · check digit = 7 · actual last digit = 7

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1194950857?
NPI 1194950857 is the National Provider Identifier assigned to Shannon Dunlap, PHD in Lagrange, GA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Clinical cover?
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology --…
How do I contact Shannon Dunlap, PHD?
The phone number on file with NPPES is (706) 884-5050, last updated Feb 3, 2016. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Shannon Dunlap, PHD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1194950857 a valid number?
Yes. 1194950857 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.