SHELBY MEDICAL ASSOCIATES, PA
NPI 1104819754
Internal Medicine - Adolescent Medicine in Shelby, NC
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
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shelby Medical Associates, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Shelby Medical Associates, PA, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 11 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (12)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, NCFrequently 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 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.
Where is Shelby Medical Associates, PA located?
Shelby Medical Associates, PA is located at 711 N Dekalb St, Shelby, NC 28150. The listed phone number is (704) 482-1482.
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.
Is Shelby Medical Associates, PA enrolled in Medicare?
Yes. Shelby Medical Associates, PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Shelby Medical Associates, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 2 Medicare specialties reassign their Medicare billing to Shelby Medical Associates, PA. A 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 the clinician's services. The largest specialties are Nurse Practitioner (7) and Internal Medicine (5). Of these, 4 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Shelby Medical Associates, PA hold a CLIA laboratory certificate?
Yes. A Certificate of Accreditation (number 34D0243707) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Shelby Medical Associates, PA accept?
Health plans from AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC list Shelby Medical Associates, PA 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 Medical Associates, PA was last updated on March 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Shelby Medical Associates, Pa · NPI 1104819754
Adolescent Medicine organization in Shelby, North Carolina. Organization record, active in the CMS NPPES registry since August 30, 2005.
## Identity
- **NPI:** 1104819754 (Entity type: Organization)
- **Enumerated:** August 30, 2005
- **Primary specialty:** Internal Medicine - Adolescent Medicine · taxonomy 207RA0000X
- **Organization subpart:** No
- **Authorized official:** Paul Ferrell, PRESIDENT/PHYSICIAN
## Practice location
- **Address:** 711 N DEKALB ST, Shelby, NC 28150-3911
- **Phone:** (704) 482-1482 · **Fax:** (704) 480-6012
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 12 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (7), Internal Medicine (5); 4 practice at this address and 11 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 21, 2011
- **Other identifiers:** Medicare ID-Type Unspecified 230115 (NC); Medicaid 8902660 (NC)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1104819754) · Data from the CMS NPPES public registry.