HOLLY MARIE SHALHOOP (PA-C) – Physician Assistant, NPI 1578867040

HOLLY MARIE SHALHOOP (PA-C) is a healthcare provider. based in Suwanee, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 1965 (OK). The NPI Number for HOLLY MARIE SHALHOOP (PA-C) is 1578867040

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
HOLLY MARIE SHALHOOP (PA-C)
NPI
1578867040
Phone
(770) 831-3018
Address
1300 Peachtree Industrial Blvd Ste 4203
Enumeration Date
27 December 2010
Last Update Date
17 March 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6784949201
Graduation Year
2004 (22 years ago)
PAC ID
3476733908
Group Practice PAC ID
8921094376
Professional Enrollment ID
I20140401000708
Address ID
GA301891603WO900XXPKWY408
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:15State licenses:2Digital endpointsOther names

4,431 PHYSICIAN ASSISTANT in GA

Provider Addresses for HOLLY MARIE SHALHOOP (PA-C)

  • 1300 Peachtree Industrial Blvd Ste 4203

    Suwanee, GA 300244540

    Phone: (770) 831-3018

    Fax: (770) 831-3669

    Type: Location

  • 1930 BRANNAN RD

    MCDONOUGH, GA 302534310

    Phone: (678) 284-4040

    Type: Mailing

  • 1800 NORTHSIDE FORSYTH DR STE 370

    CUMMING, GA 300418483

    Phone: (770) 889-9737

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 72 Open Payments records for all available years, with a total value of $1,724.

Total Amount is formed as General ($1,724) + Research ($0) + Ownership ($0) = $1,724.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($184).

Total Amount

$1,724

General + Research + Ownership

Payments

72

Total payment records

General Amount

$1,724

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2014-04-01

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
I20140401000708IPhysician 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
81003Automated urinalysis test530321$0
99213Established patient office or other outpatient visit, 20-29 minutes337235$0
99214Established patient office or other outpatient visit, 30-39 minutes185147$0
51798Ultrasound measurement of bladder capacity after voiding11799$0
84153Psa (prostate specific antigen) measurement, total6656$0
View full utilization report →

Insurance plans in this area (ZIP 30024)

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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: 8921094376View full group profile

Reviews

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Frequently asked questions

What NPI should I save for HOLLY MARIE SHALHOOP (PA-C)?
Save NPI 1578867040 if you need a stable reference for HOLLY MARIE SHALHOOP (PA-C).
Is HOLLY MARIE SHALHOOP (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is HOLLY MARIE SHALHOOP (PA-C)?
The page reflects Physician Assistant for HOLLY MARIE SHALHOOP (PA-C). Clinical services aligned with this taxonomy classification.
Where is HOLLY MARIE SHALHOOP (PA-C)'s primary listing?
We display Suwanee, Georgia because that is what the record indicates for HOLLY MARIE SHALHOOP (PA-C).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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