Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary Virginia Shoup

Individual provider Physician Assistant · NPI 1275209025

Mary Virginia Shoup is a Physician Assistant in Thomasville, Georgia. Qualified in 2021, 5 years ago. Practices with Ccsg, Inc, a 26-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2021
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Practice location Address checks out

915 Gordon Ave
Thomasville, GA 31792-6614
Phone: (229) 228-2799
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Gordon Ave. At Mimosa Drive., Thomasville, GA 31792 — (229) 228-2000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1275209025
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 20, 2021
Last updated in NPPESSeptember 3, 2021
Certification dateAugust 23, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Ccsg, Inc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $803 39 payments · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Ccsg, Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 26 clinicians in the practice; 12 are shown here.

Other providers in Thomasville