SHELBY SMITH KING (PA-C) – Physician Assistant, NPI 1336814938

SHELBY SMITH KING (PA-C) is a healthcare provider. based in Rome, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 12563 (GA). The NPI Number for SHELBY SMITH KING (PA-C) is 1336814938

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
SHELBY SMITH KING (PA-C)
NPI
1336814938
Phone
(762) 235-1000
Address
221 TECHNOLOGY PKWY NW
Enumeration Date
16 August 2021
Last Update Date
24 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7062920040
Graduation Year
2020 (6 years ago)
PAC ID
7618375007
Group Practice PAC ID
9234121864
Professional Enrollment ID
I20241124000077
Address ID
GA301614999RO100XXNEXX501

Contacts

Secure Messaging
shelby.king.1@1498.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Other namesUpdated within 12 months

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

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: 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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211015001740IPhysician AssistantMSTBD
I20241124000077IPhysician 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
J7318Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg96012$0
J1030Injection, methylprednisolone acetate, 40 mg17082$0
20610Aspiration and/or injection of fluid from large joint15391$0
99213Established patient office or other outpatient visit, 20-29 minutes149105$0
99214Established patient office or other outpatient visit, 30-39 minutes13588$0
View full utilization report →

Insurance plans in this area (ZIP 30165)

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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: 9234121864View full group profile
NameSpecialtyState
Hand SurgeryGA
-GA
Physician AssistantAL
Physical Therapist In Private PracticeGA
Orthopedic SurgeryGA
Orthopedic SurgeryGA
Physician AssistantGA
Physician AssistantGA
Orthopedic SurgeryGA
Orthopedic Surgery, Sports MedicineGA

Reviews

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Frequently asked questions

Does SHELBY SMITH KING (PA-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — SHELBY SMITH KING (PA-C) uses 1336814938.
Can I rely on SHELBY SMITH KING (PA-C) being an active provider?
As of the registry snapshot, SHELBY SMITH KING (PA-C) is marked active.
What is SHELBY SMITH KING (PA-C)'s primary classification?
Physician Assistant is the headline specialty for SHELBY SMITH KING (PA-C) here. Clinical services aligned with this taxonomy classification.
Does SHELBY SMITH KING (PA-C) list a practice location?
Patients near Rome, Georgia may find SHELBY SMITH KING (PA-C) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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