Individual provider Active NPI

Shaheryar Ali Jafri, M.D.

  • Hospitalist Physician
  • Orlando, FL
National Provider Identifier
1033595830
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
80143 Issued in GA
Practice address
2501 N Orange Avenue, Suite 235
Orlando, FL 32804-4648
Phone
(407) 303-7331
Fax
(407) 303-7285
NPI assigned
Aug 4, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 80143 GA
Hospitalist Physician 208M00000X 80143 GA Primary

Addresses

Primary practice location

2501 N Orange Avenue, Suite 235
Orlando, FL 32804-4648

Mailing address

1514 Vernon Rd
Lagrange, GA 30240-4131
Phone (706) 812-2369

Other practice location 1

1514 Vernon Rd
LaGrange, GA 30240-4131
Phone (706) 812-2369

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sjafri410625@directwellstar.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, SC, MO, MS, AL5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20200618002459 FL Practitioner - Hospitalist 5597027649 Reassigns benefits to 1 organization
I20210617000554 SC Practitioner - Internal Medicine 5597027649 Reassigns benefits to 3 organizations
I20220509001795 MO Practitioner - Internal Medicine 5597027649 Reassigns benefits to 1 organization
I20230725003820 MS Practitioner - Hospitalist 5597027649 Reassigns benefits to 1 organization
I20241127002369 AL Practitioner - Internal MedicinePractitioner - Hospitalist 5597027649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1256 Military St S
Hamilton, AL 35570-5003
Phone (205) 921-6202

830 S Gloster St
Tupelo, MS 38801-4934
Phone (662) 377-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
80143GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Loris Seacoast Hospital CurrentSince May 25, 2021 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Mar 1, 2021 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
North Mississippi Medcial Center, Inc. CurrentSince May 4, 2023 Accepting new patients
Georgetown Memorial Hospital CurrentSince Jul 1, 2021 Accepting new patients
Marion Regional Medical Center, Inc CurrentSince Sep 26, 2024 Accepting new patients
North Mississippi Medical Center Inc Current Accepting new patients
North Mississippi Medical Center Inc. CurrentSince May 4, 2023 Accepting new patients
Apogee Medical Group Georgia Internal Medicine CurrentSince Jul 5, 2018 Accepting new patients
Apogee Medical Group, Florida Inc Hospitalist CurrentSince May 15, 2020 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
Cogent Healthcare of Georgia PC Internal Medicine CurrentSince Jun 19, 2023 Accepting new patients
Georgetown Memorial Hospital CurrentSince Jul 1, 2021 Accepting new patients
Mercy Clinic Springfield Communities Internal Medicine CurrentSince Jun 29, 2022 Accepting new patients
Waccamaw Community Hospital CurrentSince Jul 1, 2021 Accepting new patients
McLeod Loris Seacoast Hospital CurrentSince May 25, 2021 Accepting new patients
Marion Regional Medical Center, Inc. Current Accepting new patients
North Mississippi Medical Center, Inc. Past Accepting new patients

Locations

1256 Military St S
Hamilton, AL 35570
Phone (205) 921-6200

1336 Military St S
Hamilton, AL 35570
Phone (205) 921-0521

15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601

951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511

705 Dixie St
Carrollton, GA 30117
Phone (770) 812-9666

1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

1514 Vernon Rd
Lagrange, GA 30240
Phone (706) 812-2369

350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

601 Dallas Hwy
Villa Rica, GA 30180
Phone (770) 456-3000

100 Hospital Dr
Lebanon, MO 65536
Phone (417) 533-6010

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

808 Varsity Dr
Tupelo, MS 38801
Phone (662) 377-2386

606 Black River Rd
Georgetown, SC 29440
Phone (843) 527-7000

3655 Mitchell St
Loris, SC 29569
Phone (843) 716-7000

4070 Highway 17
Murrells Inlt, SC 29576
Phone (843) 357-5100

Interoperability endpoints

  • Direct secure messaging: shaheryarjafri@nmhs.medalliesdirect.net

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1033595830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 VERNON RD",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404131",
            "telephone_number": "706-812-2369",
            "fax_number": "706-845-3194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 N ORANGE AVENUE, SUITE 235",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328044648",
            "telephone_number": "407-303-7331",
            "fax_number": "407-303-7285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1514 Vernon Rd",
            "address_purpose": "LOCATION",
            "city": "LaGrange",
            "state": "GA",
            "postal_code": "302404131",
            "country_code": "US",
            "telephone_number": "706-812-2369",
            "fax_number": "706-845-3194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAFRI",
        "first_name": "SHAHERYAR",
        "middle_name": "ALI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-04",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "80143",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "80143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sjafri410625@directwellstar.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1514 Vernon Rd",
            "city": "LaGrange",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302404131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.