SHELBY MEDICAL ASSOCIATES, PA
NPI 1104819754
Internal Medicine - Adolescent Medicine in Shelby, NC

Q: What is Shelby Medical Associates, PA's NPI number?

The NPI number for Shelby Medical Associates, PA is 1104819754. It was assigned to this organization in the NPPES registry on August 30, 2005.

Q: What is Shelby Medical Associates, PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Adolescent Medicine, with taxonomy code 207RA0000X.

Active since August 30, 2005CLIA 34D0243707 · Accreditation

711 N DEKALB ST, SHELBY, NC 28150(704) 482-1482(704) 480-6012 Get Directions Write a Review

NPPES record last updated: March 21, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shelby Medical Associates, Pa NPPES

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

SHELBY MEDICAL ASSOCIATES, PA (NPI 1104819754) is a healthcare organization registered as an adolescent medicine in Shelby, North Carolina and active in the NPI registry since August 2005. The organization holds an CLIA Accreditation certificate valid through December 22, 2027 and lists Paul Brent Ferrell, President/physician, as its authorized official.

NPPES Registry Identity

NPI1104819754

Entity TypeOrganization

Primary Taxonomy207RA0000X

Legal Business NameSHELBY MEDICAL ASSOCIATES, PA

Location Address711 N DEKALB STShelby, NC 28150-3911

Mailing Address711 N Dekalb StShelby, NC 28150-3911 · (704) 482-1482 · Fax (704) 480-6012

Phone(704) 482-1482

Fax(704) 480-6012

Organization SubpartNo

Authorized OfficialPaul Brent FerrellPresident/physician · (704) 482-1482

Enumeration DateAugust 30, 2005

Last NPPES UpdateMarch 21, 2011

✔ NPI 1104819754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RA0000X

Definition

An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

711 N DEKALB ST, Shelby, NC 28150

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Other Identifiers 2

Medicare ID-Type Unspecified230115NC

Medicaid8902660NC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 34D0243707

Shelby Medical Associates PA · Shelby, NC

Active · expires Dec 22, 2027

CLIA Number34D0243707

Laboratory TypePhysician Office

Certificate Effective DateDecember 23, 2025

Certificate Expiration DateDecember 22, 2027

Laboratory DirectorDr. Evelyn Rabindran

Laboratory Phone(704) 482-1482

Laboratory LocationShelby Medical Associates PA711 North Dekalb Street, Shelby, NC 28150

CLIA data matches this NPI record on: Address Name Phone

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

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

MRS. BETTY C MOREHEAD NP-C

Nurse Practitioner (Family)