Individual provider Active NPI

Polina P Shvarts, M.D.

  • Psychiatry Physician
  • Gainesville, GA
National Provider Identifier
1023113552
Registry record updated Jan 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
068560 Issued in GA
Practice address
500 Jesse Jewell Pkwy SE
Ste 207
Gainesville, GA 30501-3779
Phone
(770) 718-9790
Fax
(888) 504-7955
NPI assigned
Sep 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036-089406 IL
Psychiatry Physician 2084P0800X 068560 GA Primary

Addresses

Primary practice location

500 Jesse Jewell Pkwy SE
Ste 207
Gainesville, GA 30501-3779

Mailing address

PO Box 908210
Gainesville, GA 30501-0919
Phone (770) 718-9790

Other identifiers 1

IdentifierTypeStateIssuer
0001608131OtherILBCBS

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130327000408 GA Practitioner - Psychiatry 0941207922

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-089406ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shvarts Psychiatric Services, P.C. CurrentSince Sep 3, 2013 Accepting new patients
Horizons Behavioral Health LLC Past Accepting new patients
Psychiatry and Psychological Associates LLC Past Accepting new patients

Locations

1400 Buford Hwy
Ste R6
Buford, GA 30518
Phone (678) 288-9339

Organizations & group practices 3

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359072000000",
    "number": "1023113552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 908210",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305010919",
            "telephone_number": "770-718-9790",
            "fax_number": "888-504-7955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 JESSE JEWELL PKWY SE",
            "address_2": "STE 207",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013779",
            "telephone_number": "770-718-9790",
            "fax_number": "888-504-7955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHVARTS",
        "first_name": "POLINA",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2013-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036-089406",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "068560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0001608131",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.