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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KELLY SHADMAN PHILLIPS PA-C
NPI 1194915496
Physician Assistant in Cumming, GA

Active since August 01, 2007PECOS Enrolled
1505 NORTHSIDE FORSYTH BLVD, STE 3500, CUMMING, GA 30041(770) 292-6500(770) 292-6535 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 2, 2020, Mar 6, 2018 (2 updates tracked since 2018).

About Kelly Shadman Phillips Pa-c NPPES

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

KELLY SHADMAN PHILLIPS PA-C (NPI 1194915496) is an individual physician assistant in Cumming, Georgia, licensed in Colorado (PA.0009629) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194915496
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY SHADMAN PHILLIPSCredential: PA-C
Location Address1505 NORTHSIDE FORSYTH BLVD, STE 3500Cumming, GA 30041
Mailing Address3400 Old Milton Pkwy # C, Suite 290Alpharetta, GA 30005-3707 · (770) 667-4337 · Fax (770) 667-4338
Phone(770) 292-6500
Fax(770) 292-6535
Sole ProprietorNo
Enumeration DateAugust 1, 2007
Last NPPES UpdateJune 10, 20262 updates tracked since enumeration
NPPES CertifiedJune 10, 2026
✔ NPI 1194915496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in CO · PA.0009629✔ Licensed in NC · 0010-03244✔ Licensed in TN · 1512✔ Licensed in GA · 007088
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 1512 (TN)
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA0000001512 (TN)
1505 NORTHSIDE FORSYTH BLVD, Cumming, GA 30041
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Other Identifiers 3

Medicaid003144287FGA
Medicaid003144287HGA
Medicaid003144287EGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Oscar Health Insurance, Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Shadman Phillips Pa-c 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 30041 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
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 3

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

MICHAEL LASALA BINSTOCK PAC
Physician Assistant (Surgical)
1505 NORTHSIDE FORSYTH BLVD, STE 3500
CUMMING, GA 30041
Forsyth County (770) 292-6500
KARRIE PUSATERI
Nurse Practitioner (Family)
1505 NORTHSIDE FORSYTH BLVD, STE 3500
CUMMING, GA 30041
Forsyth County (770) 292-6500
ERIN L. CROWSON PA
Physician Assistant
1505 NORTHSIDE FORSYTH BLVD, STE 3500
CUMMING, GA 30041
Forsyth County (770) 292-6500

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 Kelly Phillips's NPI number?

The NPI number for Kelly Phillips is 1194915496. It was assigned to this individual provider in the NPPES registry on August 1, 2007.

Where is Kelly Phillips located?

Kelly Phillips practices at 1505 Northside Forsyth Blvd Ste 3500, Cumming, GA 30041. The listed phone number is (770) 292-6500.

What is Kelly Phillips's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kelly Phillips enrolled in Medicare?

Yes. Kelly Phillips is registered in the Medicare PECOS enrollment system.

What insurance does Kelly Phillips accept?

Health plans from Alliant Health Plans, Inc., Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc and Oscar Health Plan, Inc. and 2 other insurers list Kelly Phillips 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 Kelly Phillips was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 days 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.