Individual provider · Type 1 NPI

Shannon T. Evellis, PA-C

Physician Assistant · Queensbury, NY

NPI number 1174810808 Active

Practice location

161 Carey Rd
Queensbury, NY 12804-7821

Call (518) 824-8610 Map

Fax (518) 824-2390

Mailing address

9 Carey Rd
Queensbury, NY 12804-7880

Other practice locations

  • 100 Broad St, Glens Falls, NY 12801-4349 · (518) 792-2223
  • 3767 Main St, Warrensburg, NY 12885-1890 · (518) 623-2844

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X014844 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1174810808

Shannon T. Evellis, PA-C's National Provider Identifier is 1174810808, issued on Jul 1, 2011. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Queensbury, NY. The record was last updated on Oct 8, 2026.