DR. SUSAN ELENA SHIRLEY M.D.
NPI 1427107036
Pathology - Anatomic Pathology & Clinical Pathology in Hickory, NC
About Dr. Susan Elena Shirley M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SUSAN ELENA SHIRLEY M.D. (NPI 1427107036) is an individual anatomic pathology & clinical pathology provider in Hickory, North Carolina, licensed in Georgia (052830) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Atrium Health Floyd Medical Center, and is a graduate of Medical College Of Georgia School Of Medicine (2001).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Susan Elena Shirley M.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Susan Shirley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rome, GA 30165
- Reassigned Medicare billing, Alabama and Georgia enrollments
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 18
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Atrium Health Floyd Medical Center
Acute Care Hospitals · Rome, GARedmond Regional Medical Center
Acute Care Hospitals · Rome, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28602 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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
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.
HICKORY, NC 28602
HICKORY, NC 28602
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 Susan Shirley's NPI number?
The NPI number for Susan Shirley is 1427107036. It was assigned to this individual provider in the NPPES registry on January 10, 2007.
Where is Susan Shirley located?
Susan Shirley practices at 1899 Tate Blvd SE, Hickory, NC 28602. The listed phone number is (828) 322-3821.
What is Susan Shirley's specialty?
The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.
Is Susan Shirley enrolled in Medicare?
Yes. Susan Shirley 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.
Which organization bills Medicare for Susan Shirley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susan Shirley reassigns Medicare benefits to Southeastern Pathology, P.C. (Rome, GA). The 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 Susan Shirley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Susan Shirley accept?
Health plans from Blue Cross and Blue Shield of Alabama and Oscar Health list Susan Shirley 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.
Is Susan Shirley affiliated with any hospitals?
According to CMS data, Susan Shirley is affiliated with Atrium Health Floyd Medical Center and Redmond Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Susan Shirley was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Susan Elena Shirley, M.D. · NPI 1427107036
Anatomic Pathology & Clinical Pathology physician in Hickory, North Carolina. Individual provider, active in the CMS NPPES registry since January 10, 2007.
## Identity
- **NPI:** 1427107036 (Entity type: Individual)
- **Enumerated:** January 10, 2007
- **Primary specialty:** Pathology - Anatomic Pathology & Clinical Pathology · taxonomy 207ZP0102X
- **State license:** 052830 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1899 TATE BLVD SE, Hickory, NC 28602-4200
- **Phone:** (828) 322-3821
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southeastern Pathology, P.C. (NPI 1508848300, Rome, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Medical College Of Georgia School Of Medicine, class of 2001
## Record status
- **NPPES last updated:** July 22, 2026
- **Other identifiers:** Medicaid 598765966A (GA); Medicaid 009942541 (AL)
---
Source: [NPI Profile](https://npiprofile.com/npi/1427107036) · Data from the CMS NPPES public registry.