SHANE LEON GIDDENS PA-C
NPI 1356556724
Physician Assistant - Surgical in Gainesville, GA

Q: What is Shane Giddens's NPI number?

The NPI number for Shane Giddens is 1356556724. It was assigned to this individual provider in the NPPES registry on May 11, 2007.

Q: What is Shane Giddens's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Shane Giddens was last updated on October 15, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 11, 2007PECOS EnrolledAccepts Medicare Assignment

82.55/100

CMS Quality Rating

1211 SHERWOOD PARK DR NE STE A, GAINESVILLE, GA 30501(770) 219-3202 Get Directions Write a Review

NPPES record last updated: October 15, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 15, 2020, Sep 26, 2018 (2 updates tracked since 2018).

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About Shane Leon Giddens Pa-c NPPES

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

SHANE LEON GIDDENS PA-C (NPI 1356556724) is an individual surgical provider in Gainesville, Georgia, licensed in Georgia (005490) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and maintains a secondary practice location in Lawrenceville.

NPPES Registry Identity

NPI1356556724

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameSHANE LEON GIDDENSCredential: PA-C

Location Address1211 SHERWOOD PARK DR NE STE AGainesville, GA 30501

Mailing AddressPo Box 742616Atlanta, GA 30374-2616 · (770) 219-8420

Phone(770) 219-3202

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateMay 11, 2007

Last NPPES UpdateOctober 15, 20202 updates tracked since enumeration

NPPES CertifiedOctober 15, 2020

✔ NPI 1356556724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in GA · 005490

Also ListedPhysician AssistantTaxonomy 363A00000X · License 005490 (GA), PA9103541 (FL)

1211 SHERWOOD PARK DR NE STE A, Gainesville, GA 30501

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Secondary Practice Location 1

Location 1771 Old Norcross Rd, Suite 390Lawrenceville, GA 30046-4386 · Phone (678) 957-0757 · Fax (678) 957-9597

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

Shane Leon Giddens Pa-c 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 ID4284726480

PECOS Enrollment IDI20110107000427

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 3

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.

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.

34 services34 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

32 services32 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

16 services16 patients

Hospital Affiliations CMS Care Compare

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

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number110029

Location743 Spring StreetGainesville, GA 30501 · Hall County

Emergency services Birthing friendly

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.

82.55/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.14

Promoting Interoperability

100

Improvement Activities

Cost

60.7

Other Providers at the Same Location NPPES 15

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

MRS. TONYA ADAMS SCOTT MSN, APRN, NP-C

Nurse Practitioner (Acute Care)