Individual provider · Type 1 NPI

Kelly Shadman Phillips, PA-C

Physician Assistant · Cumming, GA

NPI number 1194915496 Active

Practice location

1505 Northside Forsyth Blvd, Ste 3500
Cumming, GA 30041

Call (770) 292-6500 Map

Fax (770) 292-6535

Mailing address

3400 Old Milton Pkwy # C, Suite 290
Alpharetta, GA 30005-3707

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XPA0000001512 (TN)
Physician Assistant 363A00000X0010-03244 (NC)
Medical Physician Assistant 363AM0700X1512 (TN)
Physician Assistant 363A00000X1512 (TN)
Physician Assistant 363A00000X007088 (GA)
Physician Assistant Primary 363A00000XPA.0009629 (CO)

Physician Assistant: 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, orde…

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About NPI 1194915496

Kelly Shadman Phillips, PA-C's National Provider Identifier is 1194915496, issued on Aug 1, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Cumming, GA. The record was last updated on Jun 10, 2026.