Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY SHADMAN PHILLIPS, PA-C
ActiveKELLY SHADMAN PHILLIPS, PA-C is a Physician Assistant healthcare provider located in CUMMING, Georgia. NPI 1194915496 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · CUMMING, GA
Registration Details
- NPI Number
- 1194915496
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 1, 2007 (19.028473055181 yrs)
- Last Updated
- Jun 2, 2020
- Licenses
-
0010-03244 (NC)1512 (TN)1512 (TN)PA0000001512 (TN)007088 (GA)
Practice Information
- Address
-
1505 NORTHSIDE FORSYTH BLVDSTE 3500CUMMING, GA, 30041Browse GA providers · Browse ZIP 30041
- Phone
- 7702926500
- Fax
- 7702926535
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Medical Physician Assistant
- Additional Specialty
- Surgical Physician Assistant
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in CUMMING, GA
| Name | Credential | NPI |
|---|---|---|
| JASON DAVID GRABROVAC | PA-C | 1023000528 |
| DEBORAH E WHITEHAIR | PA | 1467435008 |
| MARIANN SIMPSON | P.A. | 1245213883 |
| STEVEN P HORNE | P.A. | 1154305647 |
| WALLACE EDWIN WILSON | PA-C | 1841279411 |
| JEANNE L. KOPACKA | PA | 1437124385 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.