NPI age
20 years
Enumerated 2006-03-24
● Active Type 2 · Organization
Subpart
Shannon Medical Center
Shannon Medical Center is 1 of 3272 skilled nursing facility organizations in Texas.
Primary specialty
Skilled Nursing Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Kirkham
Billing Supervisor
Last NPPES update
2011-08-26
Source: monthly bulk 2026-05
How this organization compares
Across 3272 active skilled nursing facility providers in Texas.
NPI age
20 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-03Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
2018 Pulliam St
San Angelo, TX 769055148
Mailing address
Po Box 1879
San Angelo, TX 769021879
Authorized official
Patricia Kirkham
Billing Supervisor
📞 3256575031
Individual providers at this organization
7 individual providers on file at this primary practice address.
- Jackson Achilles, M.D. Psychiatry & Neurology NPI 1710913280
- Greg Anderson, FNP Nurse Practitioner NPI 1508369034
- Rangarao Chilukuri, MD Internal Medicine NPI 1447279351
- Glen McFerren, MD Psychiatry & Neurology NPI 1457368367
- David Nichols, M.D. Emergency Medicine NPI 1003951245
- Thomas Tilford, LCSW Social Worker NPI 1174216378
- Susan Wilkinson, PHD, RN, CNS Clinical Nurse Specialist NPI 1184815342
Specialties
-
Skilled Nursing Facility Primary(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | HH2625 | BLUE CROSS SNF |
| 05 (TX) | 000916102 |
Practice context
Multi-provider organization. 7 individual providers on file at this primary address.
Subpart of Shannon Medical Center.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.