Kerry Shuffelbottom, PA-C
NPI 1902102676 · Physician Assistant · Pooler, GA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kerry Shuffelbottom, PA-C is a Physician Assistant provider in Pooler, GA (NPI 1902102676).
Provider details
- NPI number
- 1902102676
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 2131 (SC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
15 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
358 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 200 | $99 |
| Testing for Presence of Drug, By Chemistry Analyzers80307 | 36 | $61 |
| Drug Test(s), Definitive, Utilizing (1) Drug Identification Methods Able to Identify Individual Drugs and Distinguish Between Structural Isomers (but Not Necessarily Stereoisomers), Including, But Not Limited to Gc/Ms (any Type, Single Or Tandem) and Lc/MsG0483 | 35 | $242 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 33 | $70 |
| Initial Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 35 Minutes99305 | 28 | $107 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 9 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Tizanidine Hcl | 70 | 40 |
| Gabapentin | 55 | 31 |
| Baclofen | 26 | 17 |
| Cyclobenzaprine Hcl | 24 | 15 |
| Methocarbamol | 17 | 11 |
| Duloxetine Hcl | 17 | — |
| Diclofenac Sodium | 15 | — |
| Lidocaine | 14 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$501 across 22 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 3408 Trout StBrunswick, GA 31520-3622Phone: (912) 590-0973Fax: (912) 590-0180
Registry dates
- Enumerated
- 2011-01-28
- Last updated
- 2023-10-12
- Certified
- 2023-10-12
Frequently asked questions
- What is Kerry Shuffelbottom's NPI number?
- Kerry Shuffelbottom's National Provider Identifier (NPI) is 1902102676, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kerry Shuffelbottom's specialty?
- Kerry Shuffelbottom is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kerry Shuffelbottom located?
- Kerry Shuffelbottom's practice location on file with NPPES is 200 Blue Moon Xing Ste 203, Pooler, GA 31322-9698.
- What is Kerry Shuffelbottom's phone number?
- The practice phone number listed in the NPPES registry for Kerry Shuffelbottom is (912) 590-0973.
- Does Kerry Shuffelbottom accept Medicare?
- Kerry Shuffelbottom is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kerry Shuffelbottom's NPI active?
- Yes — Kerry Shuffelbottom's NPI (1902102676) is active in the NPPES registry as of the last update on 2023-10-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.