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

Shane Leon Giddens, PA-C

Individual provider Physician Assistant · NPI 1356556724

Shane Leon Giddens, PA-C is a Physician Assistant in Gainesville, Georgia. Qualified in 2005, 21 years ago. Practices with Northeast Georgia Physicians Group Inc, a 892-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Georgia.

Years since qualifying
21
Licensed in
FL, GA
In the registry since
2007
Specialties on file
3
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 →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1211 Sherwood Park Dr NE Ste A
Gainesville, GA 30501
Phone: (770) 219-3202
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 771 Old Norcross Rd, Lawrenceville, GA 30046-4386 — (678) 957-0757

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 005490 (GA)
Physician Assistant Taxonomy 363A00000X · Licence 005490 (GA)
Physician Assistant Taxonomy 363A00000X · Licence PA9103541 (FL)

Record details

NPI number1356556724
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 11, 2007
Last updated in NPPESOctober 15, 2020
Certification dateOctober 15, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Northeast Georgia Physicians Group Inc — 892 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Gainesville