Jared R Shafer, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5930 Issued in GA

Practice address

1755 Highway 34 E
Suite 2200
Newnan, GA 30265-5631

Phone

(770) 502-2175

Fax

(770) 254-7837

NPI assigned

Sep 21, 2010

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Medical College of Georgia School of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Georgia Bone and Joint, LLCGroup PAC ID 0446291140, 49 clinicians

Laboratory Fitness LLCGroup PAC ID 1052858628, 45 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Piedmont Newnan Hospital, Inc Hospital, Newnan, GA, CCN 110229
• Piedmont Fayette Hospital Hospital, Fayetteville, GA, CCN 110215

Merit-based Incentive Payment System (MIPS)

Final score

91.62 of 100Reported as apm

Quality

83.25

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Georgia Bone & Joint, LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Newnan, GA
  • NPI 1447276811
  Medicare reassignment Care Compare group NPD
• Laboratory Fitness, LLC

  • Physical Therapy Clinic/Center
  • Peachtree City, GA
  • NPI 1043969264
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Fayette Community Hospital, Inc.

  • General Acute Care Hospital
  • Fayetteville, GA
  • NPI 1528027240
  Care Compare affiliation
• Piedmont Newnan Hospital, Inc.

  • General Acute Care Hospital
  • Newnan, GA
  • NPI 1134133002
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375142400000",
    "number": "1023326329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 HIGHWAY 34 E",
            "address_2": "SUITE 2200",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302653190",
            "telephone_number": "770-502-2175",
            "fax_number": "770-254-7837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 HIGHWAY 34 E",
            "address_2": "SUITE 2200",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302655631",
            "telephone_number": "770-502-2175",
            "fax_number": "770-254-7837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFER",
        "first_name": "JARED",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-21",
        "last_updated": "2013-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "5930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nzinga Severe
• Yetrevias Seymour, NP-C
• Sara Shackleford
• Hannah Shadinger, BCBA
• Shannon R Shadix, LPC
• C. Steven Shaffer, PH.D., LPC
• Lillian Shakibnia, MD
• Nitika Sharma, M.D.
• Monique Sharpe
• Kenneth Allen Shaw Jr., MD

• Physician Assistant in Newnan, GA
• Providers in Newnan, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.