Kelly Marie Shirley, NP-C - Medicare Nurse Practitioner in Canton, GA

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Kelly Marie Shirley, NP-C is a medicare enrolled "Nurse Practitioner" in Canton, Georgia. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Innovative Infusions Llc, Innovative Infusions Llc and her current practice location is 450 Northside Cherokee Blvd., Radiology Dept., Canton, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 224-1400.

Kelly Marie Shirley is licensed to practice in Georgia (license number RN224050) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1033754163.

Contact Information

Kelly Marie Shirley, NP-C
450 Northside Cherokee Blvd., Radiology Dept.,
Canton, GA 30115
(770) 224-1400
Not Available

Map and Direction




Provider's Profile

Full NameKelly Marie Shirley
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location450 Northside Cherokee Blvd., Canton, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly Marie Shirley graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1033754163
  • Provider Enumeration Date: 11/13/2019
  • Last Update Date: 11/13/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 8325476765
  • Enrollment ID: I20200317001876

Medical Identifiers

Medical identifiers for Kelly Marie Shirley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033754163NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner RN224050 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Innovative Infusions Llc660805404494
Innovative Infusions Llc660805404494

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly Marie Shirley allows following entities to bill medicare on her behalf.
Entity NameNorthside Radiology Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013960657
PECOS PAC ID: 4486555398
Enrollment ID: O20040115000095
Entity NameInnovative Infusions Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811299944
PECOS PAC ID: 6608054044
Enrollment ID: O20190607000973

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. Kelly Marie Shirley is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly Marie Shirley, NP-C
1506 Mosswood Ln,
Woodstock, GA 30189-1529

Ph: (678) 634-1862		Kelly Marie Shirley, NP-C
450 Northside Cherokee Blvd., Radiology Dept.,
Canton, GA 30115

Ph: (770) 224-1400

Reviews and Comments


Nurse Practitioner Nurses in Canton, GA

Mrs. Holly Allen, AGACNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 460 Northside Cherokee Blvd Ste 100, Canton, GA 30115
Phone: 770-292-3490    Fax: 770-721-5615
Maureen Gicharu, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 6120 Hickory Flat Hwy, Canton, GA 30115
Phone: 770-720-0610    
Dr. Julia Mcclellan Thorne, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 427 Old Orange Mill Rd, Canton, GA 30115
Phone: 678-824-5466    Fax: 888-299-4377
Mrs. Amy Marie Wheeler, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 104 Prominence Point Pkwy, Suite 104, Canton, GA 30114
Phone: 770-704-6988    Fax: 770-720-8775
Mrs. Gracelyn Ambrister Deneus, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3755 Sixes Rd, Canton, GA 30114
Phone: 404-395-0890    Fax: 470-299-9936
Dr. Takiyah Jones, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 207 Crestmont Way, Canton, GA 30114
Phone: 678-880-6698    
Mr. William Cole, MSN, APRN, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 6120 Hickory Flat Hwy, Canton, GA 30115
Phone: 770-720-0610    

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.