Individual provider Active NPI

Paris C Shields, LCSW

  • Clinical Social Worker
  • McDonough, GA
National Provider Identifier
1114270436
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW005676 Issued in GA
Practice address
41 Griffin St
McDonough, GA 30253-3139
Phone
(229) 300-7501
NPI assigned
Oct 24, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW005676 GA Primary
Social Worker 104100000X 005835 GA

Addresses

Primary practice location

41 Griffin St
McDonough, GA 30253-3139

Mailing address

41 Griffin St
McDonough, GA 30253-3139
Phone (229) 300-7501

Other practice location 1

100 N Patterson St # 94
Valdosta, GA 31601-5570
Phone (229) 300-7501

Other identifiers 1

IdentifierTypeStateIssuer
CSW005676OtherGAGEORGIA COMPOSITE BOARD OF PC, SW AND LMFT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160513001428 GA Practitioner - Clinical Social Worker 9537458518 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

100 N Patterson St
Suite 94
Valdosta, GA 31601-5570
Phone (229) 300-7501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005835GAMDSocial Worker
005676GAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince May 23, 2023 Accepting new patients
Ashley Shapiro, LLC Clinical PastSince Jul 25, 2019 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1114270436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 GRIFFIN ST",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533139",
            "telephone_number": "229-300-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 GRIFFIN ST",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533139",
            "telephone_number": "229-300-7501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 N Patterson St # 94",
            "address_purpose": "LOCATION",
            "city": "Valdosta",
            "state": "GA",
            "postal_code": "316015570",
            "country_code": "US",
            "telephone_number": "229-300-7501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "PARIS",
        "middle_name": "C",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-24",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005676",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "005835",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA COMPOSITE BOARD OF PC, SW AND LMFT",
            "identifier": "CSW005676",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

Verify at the official NPI Registry.