Kaley Grace Horton-Shupe, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110011255 Issued in VA

Practice address

40518 W Morgan Ave
Pennington Gap, VA 24277-1822

Phone

(276) 546-4894

Fax

(276) 546-4896

NPI assigned

Aug 27, 2025

Sex

Female

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 VA

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Litton Family Medicine PC

  • Family Medicine Physician
  • Pennington Gap, VA
  • NPI 1285731463
  NPD (past)

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

{
    "created_epoch": "1756252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1891674685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40518 W MORGAN AVE",
            "city": "PENNINGTON GAP",
            "state": "VA",
            "postal_code": "242771822",
            "telephone_number": "276-546-4894",
            "fax_number": "276-546-4896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40518 W MORGAN AVE",
            "city": "PENNINGTON GAP",
            "state": "VA",
            "postal_code": "242771822",
            "telephone_number": "276-546-4894",
            "fax_number": "276-546-4896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORTON-SHUPE",
        "first_name": "KALEY",
        "middle_name": "GRACE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-27",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110011255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Gehring Hayes, FNP
• Haynes Personal Logistics, LLC
• Robert Anthony Haynes, D.C.
• Chester Andrew Hill Jr., PHARMD
• Hope for Life
• In Home Care, Inc.
• J&Atransportationllc
• John C. Marion-Pharmacist,P.C.
• Karen Michelle Jones, LPC
• K-VA-T Food Stores Inc (Food City Pharmacy)

• Physician Assistant in Pennington Gap, VA
• Providers in Pennington Gap, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.