Individual provider Active NPI

Janelle A Shah, PA-C

  • Surgical Physician Assistant
  • Stockbridge, GA
National Provider Identifier
1114419280
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
13014 Issued in GA
Practice address
135 N Park PL Ste 101
Stockbridge, GA 30281-7237
Phone
(770) 892-0300
NPI assigned
Jun 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA13014 GA
Surgical Physician Assistant 363AS0400X C0007515 MD
Surgical Physician Assistant 363AS0400X PA60839895 WA
Surgical Physician Assistant 363AS0400X 13014 GA Primary

Addresses

Primary practice location

135 N Park PL Ste 101
Stockbridge, GA 30281-7237

Mailing address

135 N Park PL Ste 101
Stockbridge, GA 30281-7237
Phone (770) 892-0300

Other practice location 1

1500 Continental Pl
Mount Vernon, WA 98273-4105
Phone (360) 424-7041

Other practice location 2

2960 Technology Pl Ste 103
Waldorf, MD 20601-4968
Phone (855) 527-7246

Other practice location 3

1401 S Laventure Rd
Mount Vernon, WA 98274
Phone (360) 424-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, GA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20210608003830 DC Practitioner - Physician Assistant 2163771668 Reassigns benefits to 1 organization
I20210621000392 MD Practitioner - Physician Assistant 2163771668 Reassigns benefits to 1 organization
I20250718003648 GA Practitioner - Physician Assistant 2163771668 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgialina Physical Therapy Associates LLCGroup PAC ID 6002812401, 406 clinicians
Regenerative Orthopaedics and Spine Institute LLCGroup PAC ID 8729397617, 11 clinicians

Practice addresses (Care Compare)

1321 Interstate Pkwy
Augusta, GA 30909-5626
Phone (706) 945-0810

135 N Park PL
Stockbridge, GA 30281-7209
Phone (770) 892-0300

135 N Park PL
Suite 101
Stockbridge, GA 30281-7237
Phone (770) 892-0273

135 N Park PL
Suite 220
Stockbridge, GA 30281-7240
Phone (770) 892-0300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA13014GAMDSurgical Physician Assistant
C0007515MDMDSurgical Physician Assistant
PA60839895WAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pain Management Specialists, LLC CurrentSince Jul 6, 2021 Accepting new patients
Regenerative Orthopaedics and Spine Institute, LLC CurrentSince Jul 8, 2025 Accepting new patients
Regenerative Orthopaedics and Spine Institute, LLC CurrentSince Jul 8, 2025 Accepting new patients
Advanced Pain Management Specialists, LLC CurrentSince Jul 6, 2021 Accepting new patients
Advanced Pain Management Specialists, LLC Past Accepting new patients

Locations

135 N Park Pl
Ste 210
Stockbridge, GA 30281
Phone (770) 892-0273

135 N Park Pl
Ste 101
Stockbridge, GA 30281
Phone (770) 892-0273

810 Bestgate Rd
Ste 220
Annapolis, MD 21401
Phone (800) 997-2460

201 Defense Hwy
Ste 205
Annapolis, MD 21401

19801 Observation Dr
Germantown, MD 20876
Phone (301) 557-5928

110 Hospital Rd
Ste 305
Prnc Frederck, MD 20678
Phone (410) 535-1451

120 Sallitt Dr
#D
Stevensville, MD 21666
Phone (410) 923-2714

2960 Technology Pl
Ste 103
Waldorf, MD 20601
Phone (301) 632-6092

3261 Old Washington Rd
Ste A
Waldorf, MD 20602

Interoperability endpoints

  • Direct secure messaging: janelle.shah.1@12239.direct.athenahealth.com

Organizations & group practices 6

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": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1114419280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 N PARK PL STE 101",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817237",
            "telephone_number": "770-892-0300",
            "fax_number": "470-878-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 N PARK PL STE 101",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817237",
            "telephone_number": "770-892-0300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Continental Pl",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "WA",
            "postal_code": "982734105",
            "country_code": "US",
            "telephone_number": "360-424-7041",
            "fax_number": "360-424-2418",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2960 Technology Pl Ste 103",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "206014968",
            "country_code": "US",
            "telephone_number": "855-527-7246",
            "fax_number": "866-229-5063",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 S Laventure Rd",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "WA",
            "postal_code": "98274",
            "country_code": "US",
            "telephone_number": "360-424-2400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "JANELLE",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-04",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "GA",
            "license": "PA13014",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MD",
            "license": "C0007515",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WA",
            "license": "PA60839895",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "GA",
            "license": "13014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.