Kelly Shadman Phillips, PA-C - Medicare in Cumming, GA

Kelly Shadman Phillips, PA-C is a medicare enrolled "Physician Assistant" in Cumming, Georgia. Her current practice location is 1505 Northside Forsyth Blvd, Ste 3500, Cumming, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 292-6500.

Kelly Shadman Phillips is licensed to practice in Georgia (license number 007088) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1194915496.

Contact Information

Kelly Shadman Phillips, PA-C
1505 Northside Forsyth Blvd, Ste 3500,
Cumming, GA 30041
(770) 292-6500
(770) 292-6535

Map and Direction




Provider's Profile

Full NameKelly Shadman Phillips
GenderFemale
Speciality
Experience Years
Location1505 Northside Forsyth Blvd, Cumming, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly Shadman Phillips attended and graduated from in
  NPI Data:
  • NPI Number: 1194915496
  • Provider Enumeration Date: 08/01/2007
  • Last Update Date: 06/02/2020
  Medicare PECOS Information:
  • PECOS PAC ID:
  • Enrollment ID:

Medical Identifiers

Medical identifiers for Kelly Shadman Phillips such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194915496NPI-NPPES
003144287FMedicaidGA
003144287HMedicaidGA
003144287EMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 0010-03244 (North Carolina)Secondary
363A00000XPhysician Assistant 1512 (Tennessee)Secondary
363AM0700XPhysician Assistant - Medical 1512 (Tennessee)Secondary
363AS0400XPhysician Assistant - Surgical PA0000001512 (Tennessee)Secondary
363A00000XPhysician Assistant 007088 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Shadman Phillips is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly Shadman Phillips, PA-C
3400 Old Milton Pkwy # C, Suite 290,
Alpharetta, GA 30005-3707

Ph: (770) 667-4337
Kelly Shadman Phillips, PA-C
1505 Northside Forsyth Blvd, Ste 3500,
Cumming, GA 30041

Ph: (770) 292-6500

Reviews and Comments


Physician Assistant Nurses in Cumming, GA

Ms. Mollie N Hosfeld, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1400 Northside Forsyth Dr Ste 240, Cumming, GA 30041
Phone: 770-844-0877    Fax: 770-844-0891
Kristin Gregory, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1505 Northside Blvd, Suite 1500, Cumming, GA 30041
Phone: 770-781-5077    Fax: 770-781-3915
Mr. Stephen Hartle, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 2576 Peachtree Pkwy, Suite 100, Cumming, GA 30041
Phone: 770-888-8777    Fax: 770-888-8779
Rithika Archinapalli,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 5195 Rialto Way, Cumming, GA 30040
Phone: 330-348-3456    
Jason David Grabrovac, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1100 Northside Forsyth Dr, Suite 340, Cumming, GA 30041
Phone: 770-886-8111    Fax: 770-205-8539
Mrs. Hiral N Patel, RPA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4150 Deputy Bill Cantrell Memorial Rd, Suite 260, Cumming, GA 30040
Phone: 770-292-3045    Fax: 770-292-3046
Jenny Dickson Laminack, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 327 Dahlonega St Ste 1501, Cumming, GA 30040
Phone: 770-844-1902    Fax: 770-205-3991

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.