MR. BRENDAN BARRETT SHAW PA-C
NPI 1770111817
Physician Assistant in Marietta, GA

Q: What is Brendan Shaw's NPI number?

The NPI number for Brendan Shaw is 1770111817. It was assigned to this individual provider in the NPPES registry on April 1, 2020.

Q: What is Brendan Shaw's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Brendan Shaw was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 01, 2020PECOS Enrolled

61 WHITCHER ST NE STE 4120, MARIETTA, GA 30060(770) 424-9732(770) 421-0228 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 11, 2026, Nov 14, 2022, Jan 13, 2021 and 2 more (5 updates tracked since 2020).

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About Mr. Brendan Barrett Shaw Pa-c NPPES

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

MR. BRENDAN BARRETT SHAW PA-C (NPI 1770111817) is an individual physician assistant in Marietta, Georgia, licensed in Georgia (10184) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1770111817

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. BRENDAN BARRETT SHAWCredential: PA-C

Location Address61 WHITCHER ST NE STE 4120Marietta, GA 30060-1179

Mailing Address61 Whitcher St Ne Ste 4120Marietta, GA 30060-1179 · (770) 424-9732 · Fax (770) 421-0228

Phone(770) 424-9732

Fax(770) 421-0228

Sole ProprietorNo

Enumeration DateApril 1, 2020

Last NPPES UpdateMay 11, 20265 updates tracked since enumeration

NPPES CertifiedMay 11, 2026

✔ NPI 1770111817 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 · 10184

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.

61 WHITCHER ST NE STE 4120, Marietta, GA 30060

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Secondary Practice Locations 2

Location 1250 Hickok AveSyracuse, NY 13206-3343 · Phone (315) 447-7449

Location 21404 River PlBraselton, GA 30517-5600 · Phone (770) 219-4000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Brendan Barrett Shaw Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30060 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.

Other Providers at the Same Location NPPES 9

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

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