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Shonda Middleton Waddell, P.A.

NPI 1720413685ActiveIndividual· Physician Assistant, Medical· Snellville, GA

Physician Assistant, Medical (P.A.) in Snellville, Georgia, trained at Medical University of South Carolina College of Medicine (class of 2007). Their prescriptions cost Medicare Part D more than their services did: $229,450 for 2,557 claims, against $18,823 paid for services in 2024.

Overview

NPI1720413685
StatusActive
Entity typeIndividual
CredentialP.A.
Sole proprietorNo
NPI issuedSep 11, 2013
Last updated in NPPESApr 15, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant, Medical Primary363AM0700X5256GA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (GA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients108
Services billed479 across 29 procedure codes
Paid by Medicare$18,823

Part D prescriptions in 2024

Prescriptions (claims)2,557 · 6,175 30-day fills
Patients343
Total drug cost$229,450
Generic share86% of claims

Medicare sources and data years

Education and affiliations

Medical schoolMedical University of South Carolina College of Medicine
Graduation year2007
Medicare specialtyPhysician Assistant
TelehealthOffers telehealth

Medical groups

Hospital affiliations

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other physician assistants in Snellville

All physician assistants in Georgia