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MR. JOSHUA D SHEA
NPI 1255384467
Physician Assistant in Atlanta, GA

Active since May 18, 2006PECOS EnrolledAccepts Medicare Assignment
5671 PEACHTREE DUNWOODY RD NE, SUITE 900, ATLANTA, GA 30342(404) 847-9999(404) 531-8466 Get Directions Write a Review

NPPES record last updated: May 9, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Joshua D Shea NPPES

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

MR. JOSHUA D SHEA (NPI 1255384467) is an individual physician assistant in Atlanta, Georgia, licensed in Georgia (005264) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1255384467
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. JOSHUA D SHEA
Location Address5671 PEACHTREE DUNWOODY RD NE, SUITE 900Atlanta, GA 30342-5000
Mailing Address5671 Peachtree Dunwoody Rd Ne, Suite 900Atlanta, GA 30342-5000 · (404) 847-9999 · Fax (404) 531-8466
Phone(404) 847-9999
Fax(404) 531-8466
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateMay 18, 2006
Last NPPES UpdateMay 9, 2008
✔ NPI 1255384467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in GA · 005264✔ Licensed in FL · PA9102450
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.
5671 PEACHTREE DUNWOODY RD NE, Atlanta, GA 30342
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Other Identifiers 4

Medicare UPINQ69893FL
Medicare PIN511I970199GA
Medicaid494190726AGA
Medicaid494190726BGA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Joshua D Shea is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133131436
PECOS Enrollment IDI20080505000204
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.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg J7318
Hyaluronan or derivative, Durolane, is a treatment injected directly into the joint to relieve pain and improve mobility. It's often used for arthritis in the knee. The substance works by supplementing your body's natural joint fluid to help lubricate and cushion the joint.
1,980 services20 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
429 services394 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
269 services241 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
265 services175 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
250 services233 patients
Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose J7323
Hyaluronan or Euflexxa is a substance similar to a natural substance in your joints. It's injected into the joint space to treat pain from osteoarthritis, especially in the knee. It helps to lubricate the joint, reducing pain and improving mobility.
85 services23 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30342 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
9%183 patients1/55-star benchmark: 95%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
62%546 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
95%713 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
90%69 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
20%446 patients1/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
25%370 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 92% · 53 patients
87%53 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
85%446 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
25%446 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
61%446 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

GEORGIA VASCULAR CLINIC AT SAINT JOSEPH'S, LLC
Surgery (Vascular Surgery)
5671 PEACHTREE DUNWOODY RD NE, SUITE 250
ATLANTA, GA 30342
Fulton County (404) 256-0170
DR. PAUL R. JEFFORDS M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
5671 PEACHTREE DUNWOODY RD NE, SUITE 900
ATLANTA, GA 30342
Fulton County (404) 847-9999
DR. STEVEN B. WERTHEIM M.D.
Orthopaedic Surgery
5671 PEACHTREE DUNWOODY RD NE, SUITE 900
ATLANTA, GA 30342
Fulton County (404) 847-9999
DR. ROBERT MICHAEL EISENBAND MD
Internal Medicine (Gastroenterology)
5671 PEACHTREE DUNWOODY RD NE, SUITE 600
ATLANTA, GA 30342
Fulton County (404) 257-9000
DR. HETAL KARSAN MD
Internal Medicine (Gastroenterology)
5671 PEACHTREE DUNWOODY RD NE, SUITE 600
ATLANTA, GA 30342
Fulton County (404) 257-9000
JENNIFER J. BRIDGES AT-C
Specialist/Technologist (Athletic Trainer)
5671 PEACHTREE DUNWOODY RD NE, SUITE 900
ATLANTA, GA 30342
Fulton County (404) 531-8590
AHI ATLANTA, LLC
Dietitian, Registered
5671 PEACHTREE DUNWOODY RD NE, SUITE 600
ATLANTA, GA 30342
Fulton County (404) 257-9000
BILLY GENE MIMS-GOODMAN CRNA
Nurse Anesthetist, Certified Registered
5671 PEACHTREE DUNWOODY RD NE, SUITE 680
ATLANTA, GA 30342
Fulton County (404) 705-6985

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 Joshua Shea's NPI number?

The NPI number for Joshua Shea is 1255384467. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Joshua Shea located?

Joshua Shea practices at 5671 Peachtree Dunwoody Rd NE Suite 900, Atlanta, GA 30342. The listed phone number is (404) 847-9999.

What is Joshua Shea's specialty?

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

Is Joshua Shea enrolled in Medicare?

Yes. Joshua Shea is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Joshua Shea affiliated with any hospitals?

According to CMS data, Joshua Shea is affiliated with Northside Hospital Forsyth.

When was this NPI record last updated?

The NPPES record for Joshua Shea was last updated on May 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.