Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Michael Victor Shibley, PA

Individual provider Medical Physician Assistant · NPI 1750678843

Mr. Michael Victor Shibley, PA is a Physician Assistant in Acworth, Georgia. Qualified in 2011, 15 years ago. Practices with Emory Specialty Associates, LLC, a 694-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
15
Licensed in
GA
In the registry since
2011
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4791 S Main St Ste 100
Acworth, GA 30101-5324
Phone: (404) 251-1600
Fax: (770) 422-2340
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 006164 (GA)

Record details

NPI number1750678843
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 8, 2011
Last updated in NPPESOctober 27, 2017

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Emory Specialty Associates, Llc — 694 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients189
Services billed 898 a service is one billed item, such as a visit, a test or a procedure
Average patient age72

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Also affiliated with 1 long-term care hospital, which CMS identifies by certification number only.

Colleagues at Emory Specialty Associates, LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 694 clinicians in the practice; 12 are shown here.

Other providers in Acworth