Shelby Boggus King (NPI# 1134598501, PAC ID# 8022328624) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1134598501 |
| PAC ID by PECOS | 8022328624 |
| Professional Enrollment ID | I20151111001628 |
| Full Name | Shelby Boggus King |
| Organization Legal Name | PIEDMONT PROVIDERS LLC |
| Address |
4181 Hospital Dr Ne Covington GA 30014-2541 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9830082825 |
| Number of Group Practice Members | 239 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1984 Peachtree Rd Nw, Suite 300, Atlanta, GA 30309-5219 | 4043673210 | PIEDMONT PROVIDERS LLC |
| 4181 Hospital Dr Ne, Covington, GA 30014-2541 | PIEDMONT PROVIDERS LLC |
| Organization Legal Name | PIEDMONT PROVIDERS LLC |
| Physicians | 200 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric Steven Bour | General Surgery | Piedmont Providers LLC | 4062 Peachtree Nerd, C, Atlanta, GA 30319-3021 |
| Annie Quinn Morrissey | Endocrinology | Piedmont Providers LLC | 1265 Hwy 54 W, Fayetteville, GA 30214-4548 |
| Jessica Howard Phillips | Nurse Practitioner | Piedmont Providers LLC | 77 Collier Rd Nw, Suite 2080, Atlanta, GA 30309-1762 |
| Megan Massey | Nurse Practitioner | Piedmont Providers LLC | 1279 Hwy 54 W, Suite 100, Fayetteville, GA 30214 |
| Ibrahim Wiah Adamu | General Surgery | Piedmont Providers LLC | 775 Poplar Rd, Suite 230, Newnan, GA 30265-8305 |
| Maria M D'angelo | Physician Assistant | Piedmont Providers LLC | 1741 Newnan Crossing Blvd E, Suite G, Newnan, GA 30265-6601 |
| Norman M Gibby Jr. | Physician Assistant | Piedmont Providers LLC | 1984 Peachtree Rd Nw, Suite 300, Atlanta, GA 30309-5219 |
| Minaz N Khetani | Nurse Practitioner | Piedmont Providers LLC | 3525 Busbee Dr Nw, Suite 100, Kennesaw, GA 30144-5677 |
| Trang Mai Nguyen | Nurse Practitioner | Piedmont Providers LLC | 400 Tower Nerd, Suite 200, Marietta, GA 30060-9412 |
| James V Waldron | Physician Assistant | Piedmont Providers LLC | 3820 Medical Park Dr, Austell, GA 30106-1110 |
| Street Address |
4181 HOSPITAL DR NE |
| City | COVINGTON |
| State | GA |
| Zip | 30014-2541 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gilbert J Gonzalez | Urology | Piedmont Providers LLC | 4181 Hospital Dr Ne, Suite 204, Covington, GA 30014-2541 |
| Erica Scott | General Surgery | Piedmont Providers LLC | 4181 Hospital Dr Ne, Suite 303, Covington, GA 30014-2541 |
| Renee S Riley | Orthopedic Surgery | Piedmont Providers LLC | 4181 Hospital Dr Ne, Covington, GA 30014-2541 |
| Harrison Goodno | Sports Medicine | Piedmont Providers LLC | 4181 Hospital Dr Ne, Suite 204, Covington, GA 30014-2541 |
| Robert Raphael Roche | Diagnostic Radiology | Quantum Medical Radiology PC | 4181 Hospital Dr Ne, Covington, GA 30014-2541 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maureen F Vidrine | Certified Clinical Nurse Specialist (cns) | 10385 Hwy 278 E, Covington, GA 30014 | |
| Ashley E Heath | Physician Assistant | The Derm Center of Newton | 4155 Baker St Ne, Suite 100, Covington, GA 30014-1405 |
| Joseph T Overton Jr. | Dermatology | The Derm Center of Newton | 4155 Baker St Ne, Suite 100, Covington, GA 30014-1405 |
| Shiara C Vassian | Physician Assistant | The Derm Center of Newton | 4155 Baker St Ne, Suite 100, Covington, GA 30014-1405 |
| Lucinda C. Faulkner | Nurse Practitioner | The Derm Center of Newton | 4155 Baker St Ne, Suite 100, Covington, GA 30014-1405 |
| Anil J Desai | Internal Medicine | 4139 Baker St, Suite 900, Covington, GA 30014-1409 | |
| Gia E Johnson | Psychiatry | View Point Health | 8201 Hazelbrand Rd Ne, Covington, GA 30014-1510 |
| Margaret Martin | Clinical Social Worker | View Point Health | 8201 Hazelbrand Rd Ne, Covington, GA 30014-1510 |
| Dionne L Jenkins | Clinical Social Worker | View Point Health | 8201 Hazelbrand Rd Ne, Covington, GA 30014-1510 |
| Monica Osayi | Nurse Practitioner | View Point Health | 8201 Hazelbrand Rd Ne, Covington, GA 30014-1510 |
| Find all physicians in zip 30014 | |||
| City | COVINGTON |
| Zip Code | 30014 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | COVINGTON + PHYSICIAN ASSISTANT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.