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

Mrs. Shana Boyd Hackworth, PHYSICIANASSISTANT

Individual provider Medical Physician Assistant · NPI 1710029277

Mrs. Shana Boyd Hackworth, PHYSICIANASSISTANT is a Physician Assistant in Marietta, Georgia. Qualified in 1999, 27 years ago. Practices with Marietta Dermatology Associates PA, a 22-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
27
Licensed in
GA
In the registry since
2007
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Practice location Address checks out

111 Marble Mill Rd NW Marietta Dermatology Associates Pa
Marietta, GA 30060-1047
Phone: (770) 422-1013
Fax: (770) 514-5996
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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 004400 (GA)

Record details

NPI number1710029277
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedFebruary 13, 2007
Last updated in NPPESJune 28, 2010

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Marietta Dermatology Associates Pa — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Marietta