MR. MICHAEL VICTOR SHIBLEY PA
NPI 1750678843
Physician Assistant - Medical in Acworth, GA

Active since July 08, 2011PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
4791 S MAIN ST STE 100, ACWORTH, GA 30101(404) 251-1600(770) 422-2340 Get Directions Write a Review

NPPES record last updated: October 27, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 27, 2017, Mar 2, 2016 (2 updates tracked since 2016).

About Mr. Michael Victor Shibley Pa NPPES

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

MR. MICHAEL VICTOR SHIBLEY PA (NPI 1750678843) is an individual medical provider in Acworth, Georgia, licensed in Georgia (006164) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1750678843
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. MICHAEL VICTOR SHIBLEYCredential: PA
Location Address4791 S MAIN ST STE 100Acworth, GA 30101-5324
Mailing Address4791 S Main St Ste 100Acworth, GA 30101-5324 · (404) 251-1600 · Fax (770) 422-2340
Fax(770) 422-2340
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 8, 2011
Last NPPES UpdateOctober 27, 20172 updates tracked since enumeration
NPI 1750678843 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 · 006164
4791 S MAIN ST STE 100, Acworth, GA 30101

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

Mr. Michael Victor Shibley Pa 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 ID3274702261
PECOS Enrollment IDI20110809000079
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 10

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.
252 services150 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.
67 services67 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
61 services43 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.
57 services32 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
28 services26 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
24 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb 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

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.

Family Medicine
4791 S MAIN ST STE 100
ACWORTH, GA 30101
Nurse Practitioner (Family)
4791 S MAIN ST STE 100
ACWORTH, GA 30101
Family Medicine
4791 S MAIN ST STE 100
ACWORTH, GA 30101
Nurse Practitioner (Family)
4791 S MAIN ST STE 100
ACWORTH, GA 30101

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 Michael Shibley's NPI number?

The NPI number for Michael Shibley is 1750678843. It was assigned to this individual provider in the NPPES registry on July 8, 2011.

Where is Michael Shibley located?

Michael Shibley practices at 4791 S Main St Ste 100, Acworth, GA 30101. The listed phone number is (404) 251-1600.

What is Michael Shibley's specialty?

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

Is Michael Shibley enrolled in Medicare?

Yes. Michael Shibley 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 Michael Shibley affiliated with any hospitals?

According to CMS data, Michael Shibley is affiliated with Wellstar Kennestone Regional Medical Center and Emory University Hospital Midtown.

When was this NPI record last updated?

The NPPES record for Michael Shibley was last updated on October 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.