SHONDA MIDDLETON WADDELL P.A.
NPI 1720413685
Physician Assistant - Medical in Snellville, GA

Active since September 11, 2013PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
1790 PRESIDENTIAL CIR, SUITE C, SNELLVILLE, GA 30078(770) 979-8022(770) 979-1098 Get Directions Write a Review

NPPES record last updated: April 15, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shonda Middleton Waddell P.a. NPPES

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

SHONDA MIDDLETON WADDELL P.A. (NPI 1720413685) is an individual medical provider in Snellville, Georgia, licensed in Georgia (5256) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Medical University Of South Carolina College Of Medicine (2007).

NPPES Registry Identity

NPI1720413685
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSHONDA MIDDLETON WADDELLCredential: P.A.
Location Address1790 PRESIDENTIAL CIR, SUITE CSnellville, GA 30078-5688
Mailing Address1790 Presidential Cir, Suite CSnellville, GA 30078-5688 · (770) 979-8022 · Fax (770) 979-1098
Fax(770) 979-1098
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2007
Enumeration DateSeptember 11, 2013
Last NPPES UpdateApril 15, 2015
NPI 1720413685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in GA · 5256
1790 PRESIDENTIAL CIR, Snellville, GA 30078

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

Shonda Middleton Waddell P.a. 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 ID1456663871
PECOS Enrollment IDI20150626001494
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 7

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 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.
89 services67 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
75 services58 patients
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.
75 services58 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
40 services40 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
19 services16 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
19 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

Emory Decatur Hospital

Acute Care Hospitals · Decatur, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110076
Location2701 N Decatur RoadDecatur, GA 30033 · De Kalb County
Emergency services Birthing friendly

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

Emory Hillandale Hospital

Acute Care Hospitals · Lithonia, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110226
Location2801 Dekalb Medical ParkwayLithonia, GA 30058 · De Kalb County
Emergency services

Emory Johns Creek Hospital

Acute Care Hospitals · Johns Creek, GA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number110230
Location6325 Hospital ParkwayJohns Creek, GA 30097 · Gwinnett 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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

Internal Medicine
1790 PRESIDENTIAL CIR, SUITE C
SNELLVILLE, GA 30078
Non-Pharmacy Dispensing Site
1790 PRESIDENTIAL CIR, STE C
SNELLVILLE, GA 30078
Family Medicine
1790 PRESIDENTIAL CIR, SUITE C
SNELLVILLE, GA 30078
Dentist
1790 PRESIDENTIAL CIR, STE B
SNELLVILLE, GA 30078

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 Shonda Waddell's NPI number?

The NPI number for Shonda Waddell is 1720413685. It was assigned to this individual provider in the NPPES registry on September 11, 2013.

Where is Shonda Waddell located?

Shonda Waddell practices at 1790 Presidential Cir Suite C, Snellville, GA 30078. The listed phone number is (770) 979-8022.

What is Shonda Waddell's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Shonda Waddell enrolled in Medicare?

Yes. Shonda Waddell 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.

Is Shonda Waddell affiliated with any hospitals?

According to CMS data, Shonda Waddell is affiliated with Emory University Hospital, Emory Decatur Hospital, Emory University Hospital Midtown, Emory Hillandale Hospital and Emory Johns Creek Hospital.

When was this NPI record last updated?

The NPPES record for Shonda Waddell was last updated on April 15, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.