P Praxis·MD
● Active Type 1 · Individual

Lilly Marie Shupe, ATC, LAT, OTC, OT-SC

Specialist/Technologist·Decatur, GA· NPI 1134006182 · Enumerated 2025 · 0 years on NPI
Shupe is 1 of 18 specialist/technologist providers in Decatur and 1 of 1405 in Georgia.
NPI age
— years
Enumerated 2025-08-20
Primary specialty
Specialist/Technologist
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-08-20
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1405 active specialist/technologist providers in Georgia.

NPI age
0 years
↓ 9 yr below median (9 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
1
In the 13% of peers with subspecialties

NPI lifetime · 2025 → 2026

2025-08Enumerated in NPPES
2025 2026

Where they practice

Practice location
487 Winn Way Ste 100
Decatur, GA 300301700
📞 4042512090fax 4042514471
Mailing address
487 Winn Way Ste 100
Decatur, GA 300301700
📞 4042512090fax 4042514471

Specialties

  • Specialist/Technologist Primary
    Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently,...
    GA license #AT004124 taxonomy 2255A2300X
  • Orthopaedic Surgery
    An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including...
    GA license #24-0912 taxonomy 207XX0005X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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