SHELBY SMITH KING (PA-C) – Physician Assistant, NPI 1336814938
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in GA
Provider Addresses for SHELBY SMITH KING (PA-C)
221 TECHNOLOGY PKWY NW
ROME, GA 301651369
Phone: (762) 235-1000
Type: Mailing
1825 MARTHA BERRY BLVD NW
ROME, GA 301651625
Phone: (762) 235-2700
Fax: (706) 236-6437
Type: Location
255 ACORN OAKS CIR APT 113
CHATTANOOGA, TN 374052086
Phone: (770) 715-7367
Type: Mailing
104 BURNEY DR
FLOWOOD, MS 392326621
Phone: (601) 987-8200
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $342.
Total Amount is formed as General ($342) + Research ($0) + Ownership ($0) = $342.
Last reported payment date: 2024-09-20 • Largest payer in this snapshot: Sanara MedTech Inc. ($111).
Total Amount
$342
General + Research + Ownership
Payments
11
Total payment records
General Amount
$342
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sanara MedTech Inc. | $111 |
| Kowa Pharmaceuticals America, Inc. | $96 |
| Kerecis Limited | $66 |
| Bioventus LLC | $46 |
| Pacira Pharmaceuticals Incorporated | $23 |
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: 2024-11-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20211015001740 | I | Physician Assistant | MS | TBD |
| I20241124000077 | I | Physician Assistant | GA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J7318 | Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg | 960 | 12 | $0 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 170 | 82 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 153 | 91 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 149 | 105 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 135 | 88 | $0 |
Insurance plans in this area (ZIP 30165)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Hand Surgery | GA | |
| - | GA | |
| Physician Assistant | AL | |
| Physical Therapist In Private Practice | GA | |
| Orthopedic Surgery | GA | |
| Orthopedic Surgery | GA | |
| Physician Assistant | GA | |
| Physician Assistant | GA | |
| Orthopedic Surgery | GA | |
| Orthopedic Surgery, Sports Medicine | GA |
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