KATHRYN JOAN SHELLEY (P.A.) – Physician Assistant, NPI 1215937578

KATHRYN JOAN SHELLEY (P.A.) is a healthcare provider. based in Atlanta, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. 004203 (GA). The NPI Number for KATHRYN JOAN SHELLEY (P.A.) is 1215937578

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
KATHRYN JOAN SHELLEY (P.A.)
NPI
1215937578
Phone
(770) 953-6929
Address
900 CIRCLE 75 PKWY SE
Enumeration Date
28 July 2005
Last Update Date
30 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7704601900
Graduation Year
2003 (23 years ago)
PAC ID
7618860123
Group Practice PAC ID
4385963172
Professional Enrollment ID
I20040206000440
Address ID
GA302144526FA1255XWXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

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Provider Addresses for KATHRYN JOAN SHELLEY (P.A.)

  • Circle 75 Parkway Southeast, Smyrna, Cobb, Georgia, 30339, United States

    SUITE 1700

    ATLANTA, GA 303393035

    Phone: (770) 953-6929

    Fax: (770) 953-6972

    Type: Mailing

  • 1240, Eagles Landing Parkway, Stockbridge, Henry County, Georgia, 30281, United States

    SUITE 300

    STOCKBRIDGE, GA 30281

    Phone: (770) 506-4350

    Fax: (770) 506-9860

    Type: Location

  • 3100 INTERSTATE NORTH CIR SE STE 50

    ATLANTA, GA 303392227

    Phone: (770) 953-6929

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-02-06

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
I20040206000440IPhysician 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
20610Aspiration and/or injection of fluid from large joint206118$0
99214Established patient office or other outpatient visit, 30-39 minutes183150$0
J1030Injection, methylprednisolone acetate, 40 mg13293$0
J7323Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose10129$0
73564X-ray of knee, 4 or more views7373$0
View full utilization report →

Insurance plans in this area (ZIP 30339)

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Provider's Procedures

KATHRYN JOAN SHELLEY (P.A.) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTGA20610Aspiration and/or injection of large joint or joint capsule158119

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: 4385963172View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeGA
Orthopedic SurgeryGA
-GA
Physical Medicine And RehabilitationMO
Orthopedic Surgery, Hand SurgeryFL
-GA
Orthopedic SurgeryGA
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeGA
-GA

Reviews

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Frequently asked questions

What unique ID ties claims to KATHRYN JOAN SHELLEY (P.A.)?
NPI 1215937578 is assigned to KATHRYN JOAN SHELLEY (P.A.) under the national enumeration system.
Is KATHRYN JOAN SHELLEY (P.A.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does KATHRYN JOAN SHELLEY (P.A.) work in?
You can think of KATHRYN JOAN SHELLEY (P.A.) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for KATHRYN JOAN SHELLEY (P.A.)?
The page summarizes Atlanta, Georgia for KATHRYN JOAN SHELLEY (P.A.); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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