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LEAH SHUPE PAC
NPI 1003218520
Nurse Practitioner - Family in Newnan, GA

Active since September 16, 2014PECOS Enrolled
2045 HIGHWAY 34 E, NEWNAN, GA 30265(770) 502-0202(770) 502-8822 Get Directions Write a Review

NPPES record last updated: June 12, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Leah Shupe Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEAH SHUPE PAC (NPI 1003218520) is an individual family provider in Newnan, Georgia, licensed in Georgia (RN214000) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003218520
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLEAH SHUPECredential: PAC
Location Address2045 HIGHWAY 34 ENewnan, GA 30265-1327
Mailing Address835 Cogburn Ave Nw Ste 250Marietta, GA 30060-1056 · (770) 422-5557 · Fax (770) 422-8816
Phone(770) 502-0202
Fax(770) 502-8822
Sole ProprietorNo
Enumeration DateSeptember 16, 2014
Last NPPES UpdateJune 12, 2020
NPPES CertifiedJune 12, 2020
✔ NPI 1003218520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN214000
2045 HIGHWAY 34 E, Newnan, GA 30265
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leah Shupe Pac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30265 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREN ELIZABETH HOWLAND PA-C
Physician Assistant
2045 HIGHWAY 34 E
NEWNAN, GA 30265
Coweta County (770) 502-0202
LAUREN DAUGHERTY
Dermatology
2045 HIGHWAY 34 E
NEWNAN, GA 30265
Coweta County (770) 502-0202
GARRETT D FREEMAN PA-C
Physician Assistant (Medical)
2045 HIGHWAY 34 E
NEWNAN, GA 30265
Coweta County (770) 502-0202
LAURA FRANCES SMITH PA-C
Physician Assistant
2045 HIGHWAY 34 E
NEWNAN, GA 30265
Coweta County (770) 502-0202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leah Shupe's NPI number?

The NPI number for Leah Shupe is 1003218520. It was assigned to this individual provider in the NPPES registry on September 16, 2014.

Where is Leah Shupe located?

Leah Shupe practices at 2045 Highway 34 E, Newnan, GA 30265. The listed phone number is (770) 502-0202.

What is Leah Shupe's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Leah Shupe enrolled in Medicare?

Yes. Leah Shupe is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Leah Shupe was last updated on June 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.