Michael Andrew Shaw, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

13075 Issued in GA

Practice address

2800 Buford Dr Ste 410
Buford, GA 30519-5107

Phone

(770) 292-6500

Fax

(770) 292-6535

NPI assigned

Jul 20, 2009

Last updated

Aug 23, 2025By the provider in NPPES

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 IA, GA2 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

University of Nebraska College of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Joint Surgery Specialists, LLCGroup PAC ID 2961795190, 46 clinicians

Urgent Care of Oconee, LLCGroup PAC ID 5991090540, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Piedmont Athens Regional Medical Center Hospital, Athens, GA, CCN 110074

Merit-based Incentive Payment System (MIPS)

Final score

95.71 of 100Reported as apm

Quality

89.85

Promoting interoperability

94.05

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Urgent Care of Oconee, LLC

  • Multi-Specialty Clinic/Center
  • Watkinsville, GA
  • NPI 1760839500
  Medicare reassignment Care Compare group NPD
• Advanced Joint Surgery Specialists, LLC

  • Orthopaedic Surgery Physician
  • Atlanta, GA
  • NPI 1477929206
  Medicare reassignment Care Compare group
• Mahaska County Hospital

  dba Mahaska Health

  • Critical Access Hospital
  • Oskaloosa, IA
  • NPI 1356320659
  Medicare reassignment NPD
• Mahaska County Hospital

  dba Mahaska Health

  • Family Medicine Physician
  • Oskaloosa, IA
  • NPI 1407869852

  Physician Assistant

  Medicare reassignment NPD
• Urgent Care of Oconee, LLC

  • Urgent Care Clinic/Center
  • Athens, GA
  • NPI 1093468951
  NPD
• Northside Surgical Professional Services LLC

  • Surgery Physician
  • Atlanta, GA
  • NPI 1356630990
  NPD (past)

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

• Piedmont Athens Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Athens, GA
  • NPI 1437186111
  Care Compare affiliation

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755907200000",
    "number": "1699905026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 BUFORD DR STE 410",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305195107",
            "telephone_number": "770-292-6500",
            "fax_number": "770-292-6535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 BUFORD DR STE 410",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305195107",
            "telephone_number": "770-292-6500",
            "fax_number": "770-292-6535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1229 C Ave E",
            "address_purpose": "LOCATION",
            "city": "Oskaloosa",
            "state": "IA",
            "postal_code": "525774246",
            "country_code": "US",
            "telephone_number": "641-672-3193",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4881 Sugar Maple Dr",
            "address_purpose": "LOCATION",
            "city": "Wpafb",
            "state": "OH",
            "postal_code": "454335529",
            "country_code": "US",
            "telephone_number": "937-257-9416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAW",
        "first_name": "MICHAEL",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-20",
        "last_updated": "2025-08-23",
        "certification_date": "2025-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "13075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pranay Ramesh Shah, ATC/L
• Ranjan C Shah, M.D.
• Srijana Sharma, MD
• Richard Russell Shelton Jr., MD
• Rifaat Parveen Sheraz
• Christopher Luke Sherrill, FNP-C
• Sherwoods Drug Shop Inc
• Lauren Shinn, APC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.