MADELINE KATE SHEDD (PA-C) – Physician Assistant, NPI 1487541090

MADELINE KATE SHEDD (PA-C) is a healthcare provider. based in Woodstock, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for MADELINE KATE SHEDD (PA-C) is 1487541090

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
MADELINE KATE SHEDD (PA-C)
NPI
1487541090
Phone
(770) 815-9978
Address
120 STONEBRIDGE PKWY STE 440
Enumeration Date
18 June 2025
Last Update Date
18 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7702507199
Graduation Year
2025 (1 year ago)
PAC ID
2062900905
Group Practice PAC ID
1658623889
Professional Enrollment ID
I20251022002432
Address ID
GA301893768WO120XXPKWY302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience15
Completeness85
Years active:0State licenses:0Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

Provider Addresses for MADELINE KATE SHEDD (PA-C)

  • 120 STONEBRIDGE PKWY STE 440

    WOODSTOCK, GA 301893768

    Phone: (770) 815-9978

    Mailing address matches the actual address.

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: 2025-10-22

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
I20251022002432IPhysician 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30189)

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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: 1658623889View full group profile
NameSpecialtyState
D E R M A T O L O G YGA

Reviews

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Frequently asked questions

What unique ID ties claims to MADELINE KATE SHEDD (PA-C)?
NPI 1487541090 is assigned to MADELINE KATE SHEDD (PA-C) under the national enumeration system.
Does this profile mean MADELINE KATE SHEDD (PA-C) is currently active?
Yes — MADELINE KATE SHEDD (PA-C) appears active in the national provider directory.
What field does MADELINE KATE SHEDD (PA-C) work in?
You can think of MADELINE KATE SHEDD (PA-C) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is MADELINE KATE SHEDD (PA-C)'s primary listing?
We display Woodstock, Georgia because that is what the record indicates for MADELINE KATE SHEDD (PA-C).
What if Woodstock, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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