NPI age
17 years
Enumerated 2009-01-16
● Active Type 2 · Organization
Subpart
Shannon Medical Center
Shannon Medical Center is 1 of 1165 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
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 1165 active clinic/center providers in Texas.
NPI age
17 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2009 → 2026
2009-01Enumerated in NPPES
2009
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
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 148371103 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Shannon Medical Center - Outpatient Dialysis Facility
Practice context
Multi-provider organization. 7 individual providers on file at this primary address.
Subpart of Shannon Medical Center.
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Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.