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PARIS C SHIELDS LLC
NPI 1417300690
Social Worker - Clinical in Valdosta, GA

Active since July 22, 2016
3354 GREYSTONE WAY, VALDOSTA, GA 31605(229) 241-7883(229) 241-7479 Get Directions Write a Review

NPPES record last updated: July 22, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Paris C Shields Llc NPPES

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

PARIS C SHIELDS LLC (NPI 1417300690) is a healthcare organization registered as a clinical in Valdosta, Georgia and active in the NPI registry since July 2016. The organization lists Paris C Shields, Owner, as its authorized official.

NPPES Registry Identity

NPI1417300690
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NamePARIS C SHIELDS LLC
Location Address3354 GREYSTONE WAYValdosta, GA 31605-1096
Mailing Address3354 Greystone WayValdosta, GA 31605-1096 · (229) 241-7883 · Fax (229) 241-7479
Phone(229) 241-7883
Fax(229) 241-7479
Organization SubpartNo
Authorized OfficialParis C ShieldsOwner · (229) 241-7883
Enumeration DateJuly 22, 2016
✔ NPI 1417300690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in GA · CSW005676
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
3354 GREYSTONE WAY, Valdosta, GA 31605
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paris C Shields Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Paris C Shields LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Paris Shields, LCSW
Clinical Social Worker
NPI 1114270436
41 GRIFFIN ST
Mcdonough, GA 30253
(229) 300-7501
✔ PECOS✔ Accepts Medicare184 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Paris C Shields LLC's NPI number?

The NPI number for Paris C Shields LLC is 1417300690. It was assigned to this organization in the NPPES registry on July 22, 2016.

Where is Paris C Shields LLC located?

Paris C Shields LLC is located at 3354 Greystone Way, Valdosta, GA 31605. The listed phone number is (229) 241-7883.

What is Paris C Shields LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Paris C Shields LLC enrolled in Medicare?

Yes. Paris C Shields LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Paris C Shields LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Paris C Shields LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Paris C Shields LLC was last updated on July 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.