Doctor profile · Federal record
Dr. Angela Shannon, M.D.
Pediatric Gastroenterology Physician · Flowood, MS
- NPI 1407067739
- 19 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1679 Old Fannin RD Ste E
Flowood, MS 392328101
(601) 398-1949
fax (769) 216-3044
Credentials & registration
- NPI registered
- May 2007 — 19 yrs on file
- Profile last updated
- July 12, 2021
- Specialty taxonomy
- 2080P0206X — NUCC code
- State license (1)
- Mississippi #22009
- Medicaid
- MS #05307227
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1407067739. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$94
Transactions
5
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Qol Medical, LLC | 3 | $53.71 | |
| Mauna Kea Technologies, INC. | 1 | $25.80 | |
| Regeneron Healthcare Solutions, INC. | 1 | $14.38 |
By nature of payment
Frequently asked questions
What is Dr. Angela Shannon's medical specialty?
Dr. Angela Shannon practices Pediatric Gastroenterology Physician in Flowood, MS.
Where does Dr. Angela Shannon practice?
Dr. Angela Shannon practices at 1679 Old Fannin RD Ste E, Flowood, MS 392328101. Office phone: 6013981949.
What is Dr. Angela Shannon's NPI?
Dr. Angela Shannon's National Provider Identifier (NPI) is 1407067739, issued by NPPES.