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

Seth Shingledecker

Individual provider Physician Assistant · NPI 1609547975

Seth Shingledecker is a Physician Assistant in Atlanta, Georgia. Qualified in 2022, 4 years ago. Practices with The Southeast Permanente Medical Group, a 826-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2021
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Practice location Address checks out

7105 Northlake Cir NE # 7105
Atlanta, GA 30345-2851
Phone: (218) 391-6307
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1609547975
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 25, 2021
Last updated in NPPESSeptember 25, 2021
Certification dateSeptember 25, 2021
Mailing address7105 Northlake Cir Ne # 7105, Atlanta, GA 30345-2851

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice The Southeast Permanente Medical Group — 826 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Atlanta