Marissa Shams, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

78171 Issued in GA

Practice address

2015 Uppergate Dr NE
Atlanta, GA 30322-1015

Phone

(404) 778-2400

NPI assigned

May 13, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: marissa.shams.1@14358.direct.athenahealth.com

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

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406937600000",
    "number": "1033343439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 UPPERGATE DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303221015",
            "telephone_number": "404-778-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 UPPERGATE DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303221015",
            "telephone_number": "404-778-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMS",
        "first_name": "MARISSA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-13",
        "last_updated": "2014-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "GA",
            "license": "78171",
            "primary": true
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "GA",
            "license": "71871",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Leigh Shamah
• Luwi Joy Shamambo
• Shamar Home Care LLC
• George Elmer Shambaugh III, M.D.
• Shamrock Prosthetics Inc
• Samantha Reiter Shams, MD
• Sara Shams, MD, PHD
• Melissa Shanahan, PSYD
• Paul Shanahan, MD
• Kathryn N Shands, M.D.

• Allergy & Immunology Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Allergy & Immunology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.