SHILOH VALLEY CLINIC LLC
NPI 1497698104
Nurse Practitioner - Psychiatric/Mental Health in Marietta, GA
About Shiloh Valley Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHILOH VALLEY CLINIC LLC (NPI 1497698104) is a healthcare organization registered as a psychiatric/mental health in Marietta, Georgia and active in the NPI registry since April 2026. The organization lists Branderly Maliwa, President/ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shiloh Valley Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Shiloh Valley Clinic LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 Shiloh Valley Clinic LLC's NPI number?
The NPI number for Shiloh Valley Clinic LLC is 1497698104. It was assigned to this organization in the NPPES registry on April 9, 2026.
Where is Shiloh Valley Clinic LLC located?
Shiloh Valley Clinic LLC is located at 707 Whitlock Ave SW, Marietta, GA 30064. The listed phone number is (765) 326-0148.
What is Shiloh Valley Clinic LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Shiloh Valley Clinic LLC enrolled in Medicare?
Yes. Shiloh Valley Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Shiloh Valley Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Shiloh Valley Clinic 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Shiloh Valley Clinic LLC was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Shiloh Valley Clinic Llc · NPI 1497698104
Psychiatric/Mental Health organization in Marietta, Georgia. Organization record, active in the CMS NPPES registry since April 9, 2026.
## Identity
- **NPI:** 1497698104 (Entity type: Organization)
- **Enumerated:** April 9, 2026
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Branderly Maliwa, PRESIDENT/CEO
## Practice location
- **Address:** 707 WHITLOCK AVE SW, Marietta, GA 30064-3000
- **Phone:** (765) 326-0148
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 9, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1497698104) · Data from the CMS NPPES public registry.