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SHELLY ANNE KIM PA-C
NPI 1851738348
Physician Assistant - Medical in Atlanta, GA

Active since May 24, 2013PECOS EnrolledAccepts Medicare Assignment
94.56/100
CMS Quality Rating
5670 PEACHTREE DUNWOODY RD STE 1110, ATLANTA, GA 30342(404) 851-2300(404) 874-1249 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 3, 2023, Sep 18, 2020 (2 updates tracked since 2020).

About Shelly Anne Kim Pa-c NPPES

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

SHELLY ANNE KIM PA-C (NPI 1851738348) is an individual medical provider in Atlanta, Georgia, licensed in Georgia (006867) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, is affiliated with Grady Memorial Hospital, and is a graduate of Mercer University School Of Medicine (2013).

NPPES Registry Identity

NPI1851738348
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSHELLY ANNE KIMCredential: PA-C
Location Address5670 PEACHTREE DUNWOODY RD STE 1110Atlanta, GA 30342-1699
Mailing Address5670 Peachtree Dunwoody Rd, Suite 1100Atlanta, GA 30342-1699 · (404) 851-2300 · Fax (404) 851-2357
Phone(404) 851-2300
Fax(404) 874-1249
Sole ProprietorNo
Medical School CMSMercer University School Of MedicineGraduated 2013
Enumeration DateMay 24, 2013
Last NPPES UpdateMarch 25, 20242 updates tracked since enumeration
NPPES CertifiedMarch 25, 2024
✔ NPI 1851738348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in GA · 006867
Also ListedInternal MedicineTaxonomy 207R00000X · License 6867 (GA)
5670 PEACHTREE DUNWOODY RD STE 1110, Atlanta, GA 30342
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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 and accepts Medicare assignment

Shelly Anne Kim 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 ID9931341021
PECOS Enrollment IDI20130820000962
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

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.
38 services29 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

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.

94.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.49
Promoting Interoperability100
Improvement Activities40
Cost75.54

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 Shelly Kim's NPI number?

The NPI number for Shelly Kim is 1851738348. It was assigned to this individual provider in the NPPES registry on May 24, 2013.

Where is Shelly Kim located?

Shelly Kim practices at 5670 Peachtree Dunwoody Rd Ste 1110, Atlanta, GA 30342. The listed phone number is (404) 851-2300.

What is Shelly Kim's specialty?

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

Is Shelly Kim enrolled in Medicare?

Yes. Shelly Kim 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 Shelly Kim accept?

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

According to CMS data, Shelly Kim is affiliated with Grady Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Shelly Kim was last updated on March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.