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

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.

See every abbreviation used in this directory →

Practice location Address checks out

4791 S Main St Ste 100
Acworth, GA 30101-5324
Phone: (404) 251-1600
Fax: (770) 422-2340
Show map & directions

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

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