NPI age
4 years
Enumerated 2021-08-20
● Active
Type 1 · Individual
Mary Virginia Shoup
Shoup is 1 of 36 physician assistant providers in Thomasville and 1 of 4616 in Georgia.
Primary specialty
Physician Assistant
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2021-09-03
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 4616 active physician assistant providers in Georgia.
NPI age
4 years
↓ 4 yr below median (8 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
24% of peers hold subspecialties
NPI lifetime · 2021 → 2026
2021-08Enumerated in NPPES
2021
2026
Where they practice
Practice location
915 Gordon Ave
Thomasville, GA 317926614
Mailing address
100 S Madison St
Thomasville, GA 317925473
Additional practice locations
1 secondary location on file with NPPES.
Location 2
Gordon Ave. At Mimosa Drive.
Thomasville, GA 31792
Specialties
-
Physician Assistant PrimaryA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
Practice context
Part of a multi-provider practice. 112 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new physician assistant provider has been added in Thomasville in the last 180 days.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.