Lilly Marie Shupe, ATC, LAT, OTC, OT-SC - Specialist/Technologist in Decatur, GA

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Lilly Marie Shupe, ATC, LAT, OTC, OT-SC is a Specialist/technologist - Athletic Trainer physician based in Decatur, Georgia. Lilly Marie Shupe is licensed to practice in Georgia (license number AT004124) and her current practice location is 487 Winn Way Ste 100, Decatur, Georgia. She can be reached at her office (for appointments etc.) via phone at (404) 251-2090.

NPI number for Lilly Marie Shupe is 1134006182 and her current mailing address is 487 Winn Way Ste 100, Decatur, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134006182.

Contact Information

Lilly Marie Shupe, ATC, LAT, OTC, OT-SC
487 Winn Way Ste 100,
Decatur, GA 30030-1700
(404) 251-2090
(404) 251-4471

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Physician's Profile

Full NameLilly Marie Shupe
GenderFemale
SpecialitySpecialist/technologist - Athletic Trainer
Location487 Winn Way Ste 100, Decatur, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1134006182
  • Provider Enumeration Date: 08/20/2025
  • Last Update Date: 08/20/2025

Medical Identifiers

Medical identifiers for Lilly Marie Shupe such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134006182NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207XX0005XOrthopaedic Surgery - Sports Medicine 24-0912 (Georgia)Secondary
2255A2300XSpecialist/technologist - Athletic Trainer AT004124 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lilly Marie Shupe is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lilly Marie Shupe, ATC, LAT, OTC, OT-SC
487 Winn Way Ste 100,
Decatur, GA 30030-1700

Ph: (404) 251-2090		Lilly Marie Shupe, ATC, LAT, OTC, OT-SC
487 Winn Way Ste 100,
Decatur, GA 30030-1700

Ph: (404) 251-2090

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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