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Dr. Shelby K Smith , DC

Chiropractor β€’ Morrow, GA

Active NPI 1093752123 Individual Practitioner Male Practitioner
Practice location in NPPES

1568 Southlake Pkwy Ste B
Morrow, GA 30260

Call 4708780696 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1568 Southlake Pkwy Ste B

Morrow, GA 30260

Telephone 4708780696
Organization at the Same NPPES Address or Phone
Kcp Enterprises Facility NPI 1043679418

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Atlanta, GA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Smith has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Morrow and Georgia

8 active clinicians are listed under Chiropractor with a practice address in Morrow, GA (3,254 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

License # reported to NPPES GA CHIR006798

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CHIROPRACTIC

Medicare Enrollment ID

I20050504000669

Enrollment State Jurisdiction

GA

PECOS Control ID

3375583800

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

7100 Peachtree Dunwoody Rd Ste 100

Atlanta, GA 303281689

Phone: 7705045162

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location June 29, 2018

Registered at 1568 SOUTHLAKE PKWY STE B, MORROW, GA 30260 (Tel: 4708780696)

πŸ“
Updated Business Mailing Address June 29, 2018

Registered at 513 LOST CREEK DR, WOODSTOCK, GA 301881632 (Tel: 7707134573)

βœ…
NPI Profile Active November 11, 2009

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 11, 2009

Registered at 553 RIVERSTONE PKWY, STE B, CANTON, GA 301145222 (Tel: 7703459600)

πŸ“
Business Mailing Address (Initial Record) November 11, 2009

Registered at 1353 RIVERSTONE PKWY, STE120-351, CANTON, GA 301145634 (Tel: 7703459600)

πŸ‘€
Provider Name / Credentials (Initial Record) November 11, 2009

Recorded as SHELBY SMITH, D.C.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 11, 2009

Chiropractor (license number reported to NPPES: GA CHIR006798)

🟒
Initial NPI Registration & Enumeration May 31, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1093752123
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 31, 2006
Last Update: June 29, 2018
Sole Proprietor: No

Mailing Address

513 Lost Creek Dr

Woodstock, GA 301881632

Phone: 7707134573

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.