Individual provider Active NPI

Sheila Mahsa Dini, PA-C

  • Physician Assistant
  • Atlanta, GA
National Provider Identifier
1003187709
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
006378 Issued in GA
Practice address
550 Peachtree St NE Ste 1185
Atlanta, GA 30308-2236
Phone
(404) 223-0792
Fax
(404) 223-5815
NPI assigned
Jan 26, 2012
Sex
Female
Sole proprietor
No

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NSH Cancer Institute Professional Services G LLC 115 clinicians

Practice addresses (Care Compare)

1045 Southcrest Dr
Suite 200
Stockbridge, GA 30281-6113
Phone (678) 289-0549

550 Peachtree St NE
Suite 1185
Atlanta, GA 30308-2236
Phone (404) 223-0792

Merit-based Incentive Payment System (MIPS)

Final score
71.19 of 100Reported as group
Quality
69.24
Improvement activities
40
Cost
51.37

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20120525000219 GA Practitioner - Physician Assistant 2961665112 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
NSH Cancer Institute Professional Services G, LLC CurrentSince Oct 23, 2017 Accepting new patients
NSH Cancer Institute Professional Services G LLC CurrentSince Oct 23, 2017 Accepting new patients
Northside Imaging LLC Past Accepting new patients

Locations

1835 Savoy Dr
Ste 300
Atlanta, GA 30341
Phone (678) 288-9555

550 Peachtree St NE
Ste 1185
Atlanta, GA 30308
Phone (404) 223-0792

1045 Southcrest Dr
Ste 200
Stockbridge, GA 30281
Phone (678) 289-0549

Interoperability endpoints

  • Direct secure messaging: sheila.dini.p1@direct.gacancer.nextgenshare.com

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X GA
Physician Assistant 363A00000X 006378 GA Primary

Addresses

NPPES NPI Registry

Primary practice location

550 Peachtree St NE Ste 1185
Atlanta, GA 30308-2236

Mailing address

1835 Savoy Dr Ste 300
Atlanta, GA 30341-1071
Phone (404) 223-0792

Other practice location 1

2001 Peachtree Rd NE Ste 640
Atlanta, GA 30309-1476
Phone (404) 355-3161

Other identifiers 3

NPPES NPI Registry
IdentifierTypeStateIssuer
003122889BMedicaidGA
003122889CMedicaidGA
202I972744OtherGAMEDICARE PTAN

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address sheila.dini.p1@direct.gacancer.nextgenshare.com Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 25, 2020.

{
    "created_epoch": "1327536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1003187709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 SAVOY DR STE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303411071",
            "telephone_number": "404-223-0792",
            "fax_number": "404-223-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PEACHTREE ST NE STE 1185",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082236",
            "telephone_number": "404-223-0792",
            "fax_number": "404-223-5815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Peachtree Rd NE Ste 640",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303091476",
            "country_code": "US",
            "telephone_number": "404-355-3161",
            "fax_number": "404-355-1353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DINI",
        "first_name": "SHEILA",
        "middle_name": "MAHSA",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-26",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "006378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003122889B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003122889C",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "202I972744",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sheila.dini.p1@direct.gacancer.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Edge",
            "address_1": "550 Peachtree St NE Ste 1185",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303082236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.