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

Lilly Marie Shupe, ATC, LAT, OTC, OT-SC

Individual provider Sports Medicine (Orthopaedic Surgery) Physician · NPI 1134006182

Lilly Marie Shupe, ATC, LAT, OTC, OT-SC is a Sports Medicine (Orthopaedic Surgery) Physician in Decatur, Georgia. Licensed in Georgia. Registered with an NPI since 2025.

Licensed in
GA
In the registry since
2025
Specialties on file
2
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

See every abbreviation used in this directory →

Practice location Address checks out

487 Winn Way Ste 100
Decatur, GA 30030-1700
Phone: (404) 251-2090
Fax: (404) 251-4471
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT004124 (GA)
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X · Licence 24-0912 (GA)

Record details

NPI number1134006182
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC , LAT , OTC , OT-SC
Sole proprietorNo
NPI enumeratedAugust 20, 2025
Last updated in NPPESAugust 20, 2025
Certification dateAugust 20, 2025

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