Covid Solutions

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

COVID SOLUTIONS

Practice address

4151 Gray Hwy
Gray, GA 31032-6101

Phone

(770) 824-4343

Fax

(678) 519-1089

NPI assigned

Oct 13, 2021

Last updated

Oct 13, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Shivdat, MD

Title

Organiser

Phone

(770) 824-4343

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634083200000",
    "number": "1053073494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4151 GRAY HWY",
            "city": "GRAY",
            "state": "GA",
            "postal_code": "310326101",
            "telephone_number": "770-824-4343",
            "fax_number": "678-519-1089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4151 GRAY HWY",
            "city": "GRAY",
            "state": "GA",
            "postal_code": "310326101",
            "telephone_number": "770-824-4343",
            "fax_number": "678-519-1089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVID SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A",
        "authorized_official_last_name": "SHIVDAT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "ORGANISER",
        "authorized_official_telephone_number": "770-824-4343",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emergency Medicine Physician in Gray, GA
• Providers in Gray, GA by specialty
• Emergency Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.