Lillian Shade Shaffer, MMS, PA-C
Physician Assistant, Medical in Cullman, AL. Individual provider (NPI-1).
NPI number1154075752
StatusActive
Last updated in NPPESMay 31, 2025
Details
- NPI
- 1154075752
- Entity type
- Individual (NPI-1)
- Name
- Lillian Shade Shaffer
- Credential
- MMS, PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 11, 2022
- Certification date
- May 31, 2025
- Last updated
- May 31, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 2600 | AL | Yes |
| 363AM0700X | Physician Assistant, Medical | – | TN |
Other names
- Lillian Shade Epes (Former Name)
Practice location
117 2nd Ave SeCullman, AL 35055-3511
Phone 256-291-8877 · Fax 256-500-9311
Mailing address
2005 Evans Ln NeCullman, AL 35058-2057
Phone 662-473-6293
Other practice locations
3770 Ocoee Pl Nw
Cleveland, TN 37312-5638
Cleveland, TN 37312-5638
Phone 423-250-5551 · Fax 423-250-5556
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Medical Physician Assistant providers in Cullman, AL
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.