Lillian Shade Shaffer, MMS, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

2600 Issued in AL

Practice address

117 2ND Ave SE
Cullman, AL 35055-3511

Phone

(256) 291-8877

Fax

(256) 500-9311

NPI assigned

Feb 11, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Lillian Shade Epes Former name

Medicare fee-for-service enrollment

Enrolled in TN, AL2 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 2

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Warehouse Primary Care and Specialty Clinic Inc.Group PAC ID 8527446301, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cullman Regional Medical Center Hospital, Cullman, AL, CCN 010035

Merit-based Incentive Payment System (MIPS)

Final score

98.75 of 100Reported as group

Quality

97.51

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lillian.shaffer@948034614067204.direct.elationemr.com

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.

• Warehouse Primary Care & Specialty Clinic Inc.

  • Family Medicine Physician
  • Cullman, AL
  • NPI 1851037923
  Medicare reassignment Care Compare group
• Scenic City Rheumatology, PLLC

  • Specialist
  • Chattanooga, TN
  • NPI 1871647800
  Medicare reassignment
• State of Tennessee

  • Public Health or Welfare Agency
  • Jasper, TN
  • NPI 1487791315
  Medicare reassignment
• State of Tennessee

  • Public Health or Welfare Agency
  • Springfield, TN
  • NPI 1316090145
  NPD
• State of Tennessee State F & a Payroll

  • Psychiatric Hospital Unit
  • Chattanooga, TN
  • NPI 1306818265
  NPD
• Scenic City Rheumatology PLLC

  • Community/Retail Pharmacy
  • Chattanooga, TN
  • NPI 1275784217
  NPD (past)

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

• Cullman Regional Medical Center, Inc

  • General Acute Care Hospital
  • Cullman, AL
  • NPI 1114919339
  Care Compare affiliation

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

{
    "created_epoch": "1644537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748649600000",
    "number": "1154075752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 EVANS LN NE",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350582057",
            "telephone_number": "662-473-6293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 2ND AVE SE",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350553511",
            "telephone_number": "256-291-8877",
            "fax_number": "256-500-9311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3770 Ocoee Pl NW",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "TN",
            "postal_code": "373125638",
            "country_code": "US",
            "telephone_number": "423-250-5551",
            "fax_number": "423-250-5556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "LILLIAN",
        "middle_name": "SHADE",
        "credential": "MMS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-11",
        "last_updated": "2025-05-31",
        "certification_date": "2025-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AL",
            "license": "2600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LILLIAN",
            "last_name": "EPES",
            "middle_name": "SHADE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Seidel Martin Plastic Surgery PC
• Steven P Seidel, MD
• Ashley M Sellers, CRNP
• Marissa Shabel
• Kathreen Hope Shaffer
• Hobert J Sharpton Jr., DO
• Amy Shaw
• Laura M Shaw, LPC
• Nicole Shaw, M.D.
• Shane Lee Sheffield, MD

• Medical Physician Assistant in Cullman, AL
• Providers in Cullman, AL by specialty
• Medical Physician Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2025; 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.