# SHELBY MEDICAL ASSOCIATES, PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104819754
- **Authorized official:** PAUL BRENT FERRELL MD (PRESIDENT/PHYSICIAN)
- **Authorized official phone:** (704) 482-1482

## Contact information

- **Practice address:** 711 N DEKALB ST, SHELBY, NC 28150-3911
- **Practice address phone:** (704) 482-1482
- **Practice address fax:** (704) 480-6012
- **Mailing address:** 711 N DEKALB ST, SHELBY, NC 28150-3911
- **Mailing address phone:** (704) 482-1482
- **Mailing address fax:** (704) 480-6012

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RA0000X | Adolescent Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RA0000X | Adolescent Medicine (Internal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/30/2005
- **Last updated:** 03/21/2011