P Praxis·MD
● Active Type 1 · Individual

Shannon Gavin, OD

Optometrist·Atlanta, GA· NPI 1588557904 · Enumerated 2025 · 0 years on NPI
Gavin is 1 of 291 optometrist providers in Atlanta and 1 of 2375 in Georgia.
NPI age
— years
Enumerated 2025-06-03
Primary specialty
Optometrist
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-06-30
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 2375 active optometrist providers in Georgia.

NPI age
0 years
↓ 16 yr below median (16 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
1
In the 15% of peers with subspecialties

NPI lifetime · 2025 → 2026

2025-06Enumerated in NPPES
2025 2026

Where they practice

Practice location
Emory Clinic Building B 1365b Clifton Road Ne
Atlanta, GA 303220001
📞 4047782020
Mailing address
17 E 36th St
Savannah, GA 314018045
📞 9122726965

Specialties

  • Optometrist Primary
    Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as...
    GA license #OPT003670 taxonomy 152W00000X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

Recently enumerated nearby: 1 new optometrist provider has been added in Atlanta in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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