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

Lillian Shade Shaffer, MMS, PA-C

Individual provider Medical Physician Assistant · NPI 1154075752

Lillian Shade Shaffer, MMS, PA-C is a Physician Assistant in Cullman, Alabama. Qualified in 2021, 5 years ago. Practices with Warehouse Primary Care and Specialty Clinic Inc, a 10-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alabama and Tennessee.

Years since qualifying
5
Licensed in
AL, TN
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

117 2nd Ave SE
Cullman, AL 35055-3511
Phone: (256) 291-8877
Fax: (256) 500-9311
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3770 Ocoee Pl Nw, Cleveland, TN 37312-5638 — (423) 250-5551

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 2600 (AL)
Medical Physician Assistant Taxonomy 363AM0700X (TN)

Record details

NPI number1154075752
Entity typeIndividual (Type 1)
GenderFemale
Credentials MMS , PA-C
Sole proprietorNo
NPI enumeratedFebruary 11, 2022
Last updated in NPPESMay 31, 2025
Certification dateMay 31, 2025

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 Warehouse Primary Care And Specialty Clinic Inc. — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Cullman