DR. SHELBY K SMITH D.C.
NPI 1093752123
Chiropractor in Morrow, GA

Active since May 31, 2006
1568 SOUTHLAKE PKWY STE B, MORROW, GA 30260(470) 878-0696 Get Directions Write a Review

NPPES record last updated: June 29, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Shelby K Smith D.c. NPPES

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

DR. SHELBY K SMITH D.C. (NPI 1093752123) is an individual chiropractor in Morrow, Georgia, licensed in Georgia (CHIR006798) and active in the NPI registry since May 2006. He maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1093752123
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. SHELBY K SMITHCredential: D.C.
Location Address1568 SOUTHLAKE PKWY STE BMorrow, GA 30260
Mailing Address513 Lost Creek DrWoodstock, GA 30188-1632 · (770) 713-4573
Sole ProprietorNo
Enumeration DateMay 31, 2006
Last NPPES UpdateJune 29, 2018
✔ NPI 1093752123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in GA · CHIR006798
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1568 SOUTHLAKE PKWY STE B, Morrow, GA 30260

Secondary Practice Location 1

Location 17100 Peachtree Dunwoody Rd Ste 100Atlanta, GA 30328-1689 · Phone (770) 504-5162 · Fax (770) 392-9298

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shelby K Smith D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Shelby Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinic/Center
1 BALTIMORE P1. NW, SUITE 100
Atlanta, GA 30308
  • Reassigned Medicare billing, Georgia enrollment
  • 19 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Shelby Smith's NPI number?

The NPI number for Shelby Smith is 1093752123. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is Shelby Smith located?

Shelby Smith practices at 1568 Southlake Pkwy Ste B, Morrow, GA 30260. The listed phone number is (470) 878-0696.

What is Shelby Smith's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Shelby Smith enrolled in Medicare?

Yes. Shelby Smith is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shelby Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelby Smith reassigns Medicare benefits to Life University, Inc (Atlanta, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shelby Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shelby Smith accept?

Health plans from Providence Health Plan list Shelby Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shelby Smith was last updated on June 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.