JANELLE A SHAH (PA-C) – Surgical Physician Assistant, NPI 1114419280

JANELLE A SHAH (PA-C) is a healthcare provider. based in Stockbridge, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA13014 (GA). The NPI Number for JANELLE A SHAH (PA-C) is 1114419280

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
JANELLE A SHAH (PA-C)
NPI
1114419280
Phone
(770) 892-0300
Address
135 N PARK PL STE 101
Enumeration Date
4 June 2018
Last Update Date
27 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7708920300
Graduation Year
2016 (10 years ago)
PAC ID
2163771668
Group Practice PAC ID
8729397617
Professional Enrollment ID
I20250718003648
Address ID
GA302817240ST135XXPLXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:8State licenses:4Digital endpointsOther names

4,282 PHYSICIAN ASSISTANT in WA

Provider Addresses for JANELLE A SHAH (PA-C)

  • 135 N PARK PL STE 101

    STOCKBRIDGE, GA 302817237

    Phone: (770) 892-0300

    Fax: (470) 878-1495

    Type: Mailing

  • 1401 S Laventure Rd

    Mount Vernon, WA 98274

    Phone: (360) 424-2400

    Type: Location

  • 1500 Continental Pl

    Mount Vernon, WA 982734105

    Phone: (360) 424-7041

    Fax: (360) 424-2418

    Type: Location

  • 2960 Technology Pl Ste 103

    Waldorf, MD 206014968

    Phone: (855) 527-7246

    Fax: (866) 229-5063

    Type: Location

  • 201 DEFENSE HWY STE 205

    ANNAPOLIS, MD 214017096

    Phone: (855) 527-7246

    Fax: (866) 229-5063

    Type: Mailing

  • 2960 TECHNOLOGY PL STE 103

    WALDORF, MD 206014968

    Phone: (855) 527-7246

    Fax: (866) 229-5063

    Type: Location

  • 901, Madison Street, Central Business District, First Hill, Seattle, King County, Washington, 98104, United States

    SEATTLE, WA 981041172

    Phone: (206) 838-2585

    Type: Mailing

  • 1401, South LaVenture Road, Mount Vernon, Skagit County, Washington, 98274, United States

    MOUNT VERNON, WA 98274

    Phone: (360) 424-2400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 193 Open Payments records for all available years, with a total value of $3,494.

Total Amount is formed as General ($3,494) + Research ($0) + Ownership ($0) = $3,494.

Last reported payment date: 2024-12-24 • Largest payer in this snapshot: Boston Scientific Corporation ($511).

Total Amount

$3,494

General + Research + Ownership

Payments

193

Total payment records

General Amount

$3,494

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-24

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210608003830IPhysician AssistantDCTBD
I20210621000392IPhysician AssistantMDTBD
I20250718003648IPhysician AssistantGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes782269$0
99214Established patient office or other outpatient visit, 30-39 minutes779159$0
J1100Injection, dexamethasone sodium phosphate, 1 mg29225$0
J1885Injection, ketorolac tromethamine, per 15 mg4819$0
20611Aspiration and/or injection of fluid large joint using ultrasound guidance3520$0
View full utilization report →

Insurance plans in this area (ZIP 30281)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729397617View full group profile
NameSpecialtyState
Orthopedic Surgery, Sports MedicineGA
Physical Therapist In Private PracticeGA
-GA
Orthopedic SurgeryGA
Orthopedic SurgeryGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeME
-GA
Physical Medicine And Rehabilitation, Pain ManagementPA
Physical Therapist In Private PracticeGA

Reviews

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Frequently asked questions

What federal number belongs to JANELLE A SHAH (PA-C)?
The federal identifier for JANELLE A SHAH (PA-C) is NPI 1114419280.
Does this profile mean JANELLE A SHAH (PA-C) is currently active?
Yes — JANELLE A SHAH (PA-C) appears active in the national provider directory.
Can you summarize JANELLE A SHAH (PA-C)'s specialty in plain language?
Clinically, the directory lists JANELLE A SHAH (PA-C) with Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for JANELLE A SHAH (PA-C)?
The page summarizes Stockbridge, Georgia for JANELLE A SHAH (PA-C); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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