SHALONDA B PETTIS PA-C
NPI 1447317474
Physician Assistant in Fayetteville, GA

Active since January 02, 2007PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
1255 HIGHWAY 54 W, FAYETTEVILLE, GA 30214(404) 367-3014(404) 367-3558 Get Directions Write a Review

NPPES record last updated: April 11, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shalonda B Pettis Pa-c NPPES

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

SHALONDA B PETTIS PA-C (NPI 1447317474) is an individual physician assistant in Fayetteville, Georgia, licensed in Georgia (004248) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Grady Memorial Hospital, and is a graduate of Emory University School Of Medicine (2003).

NPPES Registry Identity

NPI1447317474
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHALONDA B PETTISCredential: PA-C
Location Address1255 HIGHWAY 54 WFayetteville, GA 30214-4526
Mailing Address1255 Highway 54 WFayetteville, GA 30214-4526 · (404) 367-3014 · Fax (404) 367-3558
Fax(404) 367-3558
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2003
Enumeration DateJanuary 2, 2007
Last NPPES UpdateApril 11, 2016
NPI 1447317474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in GA · 004248
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.

1255 HIGHWAY 54 W, Fayetteville, GA 30214

Accepted Insurance

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

Shalonda B Pettis 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 ID6103886486
PECOS Enrollment IDI20041012000592
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 2

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.
20 services19 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110079
Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30214 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.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.78
Promoting Interoperability100
Improvement Activities40

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.

Emergency Medicine
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
Anesthesiologist Assistant
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
Physical Therapist
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
Nurse Practitioner (Family)
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
Anesthesiologist Assistant
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
Emergency Medicine
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
Nurse Practitioner
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
Physician Assistant
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214

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 Shalonda Pettis's NPI number?

The NPI number for Shalonda Pettis is 1447317474. It was assigned to this individual provider in the NPPES registry on January 2, 2007.

Where is Shalonda Pettis located?

Shalonda Pettis practices at 1255 Highway 54 W, Fayetteville, GA 30214. The listed phone number is (404) 367-3014.

What is Shalonda Pettis's specialty?

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

Is Shalonda Pettis enrolled in Medicare?

Yes. Shalonda Pettis 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.

What insurance does Shalonda Pettis accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Shalonda Pettis 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 Shalonda Pettis affiliated with any hospitals?

According to CMS data, Shalonda Pettis is affiliated with Grady Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Shalonda Pettis was last updated on April 11, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.