Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shalonda B Pettis, PA-C

Individual provider Physician Assistant · NPI 1447317474

Shalonda B Pettis, PA-C is a Physician Assistant in Fayetteville, Georgia. Graduated from Emory University School of Medicine in 2003, 23 years ago. Practices with Grady Memorial Hospital Corporation, a 363-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
23
Trained at
Emory University School of Medicine
Licensed in
GA
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1255 Highway 54 W
Fayetteville, GA 30214-4526
Phone: (404) 367-3014
Fax: (404) 367-3558
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 004248 (GA)

Record details

NPI number1447317474
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 2, 2007
Last updated in NPPESApril 11, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice Grady Memorial Hospital Corporation — 363 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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