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

MS. Kerry Kathleen Shuffelbottom, PA-C

Individual provider Medical Physician Assistant · NPI 1902102676

MS. Kerry Kathleen Shuffelbottom, PA-C is a Medical Physician Assistant in Pooler, Georgia. Works from 2 locations. Licensed in South Carolina.

Licensed in
SC
In the registry since
2011
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

200 Blue Moon Xing Ste 203
Pooler, GA 31322-9698
Phone: (912) 590-0973
Fax: (912) 590-0180
Show map & directions

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

Additional practice locations (1)

  • 3408 Trout St, Brunswick, GA 31520-3622 — (912) 590-0973

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2131 (SC)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 2131 (SC)

Record details

NPI number1902102676
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 28, 2011
Last updated in NPPESOctober 12, 2023
Certification dateOctober 12, 2023