Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Kelly Shadman Phillips, PA-C
Physician Assistant in Cumming, GA · enumerated 2007.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1194915496
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Registry record
Entity type Individual (Type 1)
Name Kelly Shadman Phillips
Credential PA-C
Sex Female
Practice address 1505 Northside Forsyth Blvd, Ste 3500, Cumming, GA, 30041
Phone (770) 292-6500
Fax (770) 292-6535
Enumeration date Aug 1, 2007
Last updated in NPPES Jun 10, 2026
Taxonomy & licenses
363AS0400X Surgical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA0000001512 (TN) Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 0010-03244 (NC) Secondary
363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 1512 (TN) Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 1512 (TN) Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 007088 (GA) Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA.0009629 (CO) Primary
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003144287F | Medicaid | GA | - |
| 003144287H | Medicaid | GA | - |
| 003144287E | Medicaid | GA | - |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
How do I verify Kelly Phillips's NPI record?
Cross-check NPI 1194915496 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1194915496 active?
Yes, as of the latest NPPES snapshot, NPI 1194915496 is active (record last updated 2026-06-10).
Other providers at this practice address
Browse all →Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-06-10.