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PRESTON TATE SHIELDS
NPI 1346116795
Physician Assistant in Dalton, GA

Active since October 14, 2025PECOS EnrolledAccepts Medicare Assignment
1107 MEMORIAL DR STE 300, DALTON, GA 30720(706) 275-6121 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Preston Tate Shields NPPES

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

PRESTON TATE SHIELDS (NPI 1346116795) is an individual physician assistant in Dalton, Georgia and active in the NPI registry since October 2025. He is enrolled in Medicare PECOS, is affiliated with Hamilton Medical Center, and is a graduate of Lincoln Memorial University Medical Department (2025).

NPPES Registry Identity

NPI1346116795
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NamePRESTON TATE SHIELDS
Location Address1107 MEMORIAL DR STE 300Dalton, GA 30720-8662
Mailing Address1107 Memorial Dr Ste 300Dalton, GA 30720-8662 · (706) 275-6121
Phone(706) 275-6121
Sole ProprietorNo
Medical School CMSLincoln Memorial University Medical DepartmentGraduated 2025
Enumeration DateOctober 14, 2025
NPPES CertifiedOctober 14, 2025
✔ NPI 1346116795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
1107 MEMORIAL DR STE 300, Dalton, GA 30720
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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

Preston Tate Shields 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 ID8921585316
PECOS Enrollment IDI20260115003330
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.

Hospital Affiliations CMS Care Compare

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

Hamilton Medical Center

Acute Care Hospitals · Dalton, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110001
Location1200 Memorial DriveDalton, GA 30720 · Whitfield County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30720 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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 6

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

ASHISH MOHAMMAD KABIR M.D.
Psychiatry & Neurology (Clinical Neurophysiology)
1107 MEMORIAL DR STE 300
DALTON, GA 30720
Whitfield County (706) 275-6121
MELISSA DIANE PARKS NP-C
Nurse Practitioner
1107 MEMORIAL DR STE 300
DALTON, GA 30720
Whitfield County (706) 275-6121
ZADE SHAW MD
Psychiatry & Neurology (Neurology)
1107 MEMORIAL DR STE 300
DALTON, GA 30720
Whitfield County (706) 275-6121
HALEY MERTZ PA
Physician Assistant
1107 MEMORIAL DR STE 300
DALTON, GA 30720
Whitfield County (706) 275-6121
JENNA BARNES CARON AGPCNPBC
Family Medicine (Adult Medicine)
1107 MEMORIAL DR STE 300
DALTON, GA 30720
Whitfield County (706) 226-3139
DR. JUAN CARLOS GONZALEZ MD
Psychiatry & Neurology (Neurology)
1107 MEMORIAL DR STE 300
DALTON, GA 30720
Whitfield County (706) 275-6121

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 Preston Shields's NPI number?

The NPI number for Preston Shields is 1346116795. It was assigned to this individual provider in the NPPES registry on October 14, 2025.

Where is Preston Shields located?

Preston Shields practices at 1107 Memorial Dr Ste 300, Dalton, GA 30720. The listed phone number is (706) 275-6121.

What is Preston Shields's specialty?

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

Is Preston Shields enrolled in Medicare?

Yes. Preston Shields 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 Preston Shields affiliated with any hospitals?

According to CMS data, Preston Shields is affiliated with Hamilton Medical Center.

When was this NPI record last updated?

The NPPES record for Preston Shields was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.