SHELBY ANNE SALTSMAN (PA-C) – Surgical Physician Assistant, NPI 1114566247

SHELBY ANNE SALTSMAN (PA-C) is a healthcare provider. based in Marietta, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA61209 (CA). The NPI Number for SHELBY ANNE SALTSMAN (PA-C) is 1114566247

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
SHELBY ANNE SALTSMAN (PA-C)
NPI
1114566247
Phone
(678) 602-5110
Address
352 CHURCH ST NE
Enumeration Date
7 January 2020
Last Update Date
9 April 2026

Doctor Profile

Medical School Name
MERCER UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3102745372
Graduation Year
2020 (6 years ago)
PAC ID
1557761939
Group Practice PAC ID
1052418175
Professional Enrollment ID
I20220829003681
Address ID
CA902104531BE421XXDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:6State licenses:2Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

Provider Addresses for SHELBY ANNE SALTSMAN (PA-C)

  • 352 CHURCH ST NE

    MARIETTA, GA 300601318

    Phone: (678) 602-5110

    Type: Mailing

  • 352 Church St NE

    Marietta, GA 300601318

    Phone: (678) 602-5110

    Type: Location

  • 5555 PEACHTREE DUNWOODY RD STE 190

    ATLANTA, GA 303421710

    Phone: (678) 602-5110

    Type: Location

  • 421 N RODEO DR STE 7

    BEVERLY HILLS, CA 902104500

    Phone: (310) 274-5372

    Fax: (310) 274-5380

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 186 Open Payments records for all available years, with a total value of $5,667.

Total Amount is formed as General ($5,667) + Research ($0) + Ownership ($0) = $5,667.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($680).

Total Amount

$5,667

General + Research + Ownership

Payments

186

Total payment records

General Amount

$5,667

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2022-08-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20220829003681IPhysician AssistantCATBD

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
17003Destruction of precancer skin growth, 2-14 growths19035$0
99213Established patient office or other outpatient visit, 20-29 minutes6648$0
17000Destruction of precancer skin growth, 1 growth5942$0
17110Destruction of skin growth, 1-14 growths4732$0
99214Established patient office or other outpatient visit, 30-39 minutes3627$0
View full utilization report →

Insurance plans in this area (ZIP 30060)

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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: 1052418175View full group profile
NameSpecialtyState
Physician AssistantWI
D E R M A T O L O G YCA
D E R M A T O L O G YCA
D E R M A T O L O G YCA
O T O L A R Y N G O L O G YCA
D E R M A T O L O G YCA
Physician AssistantCA
D E R M A T O L O G YCA
D E R M A T O L O G YCA
D E R M A T O L O G YCA

Reviews

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Frequently asked questions

What unique ID ties claims to SHELBY ANNE SALTSMAN (PA-C)?
NPI 1114566247 is assigned to SHELBY ANNE SALTSMAN (PA-C) under the national enumeration system.
Is SHELBY ANNE SALTSMAN (PA-C)'s NPI currently valid?
The extract we use shows SHELBY ANNE SALTSMAN (PA-C) as active.
What field does SHELBY ANNE SALTSMAN (PA-C) work in?
You can think of SHELBY ANNE SALTSMAN (PA-C) as practicing within Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
What location shows for SHELBY ANNE SALTSMAN (PA-C)?
We surface Marietta, Georgia for SHELBY ANNE SALTSMAN (PA-C) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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