Active NPI
Anand Subhash Shah
- Gastroenterology Physician
- Decatur, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 72797
- Practice address
- 1670 Clairmont Rd
Decatur, GA 30033-4004 - Phone
- (404) 321-6111
- NPI assigned
- Apr 11, 2012
- Last updated
- Aug 17, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 292949-1 | NY | |
| Gastroenterology Physician | 207RG0100X | 72797 | GA | Primary |
Addresses
Primary practice location
1670 Clairmont Rd
Decatur, GA 30033-4004
Mailing address
1670 Clairmont Rd
Decatur, GA 30033-4004
Phone (404) 321-6111
Other practice location 1
450 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 270-4772
Other practice location 2
303 Parkway Dr NE
Atlanta, GA 30312-1212
Phone (470) 267-1760
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ashah488515@directwellstar.org | Health Information Exchange (HIE) |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.02 of 100
- Quality
- 57.87
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.97
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.24 of 100
- Quality
- 73.72
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.22
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 292949-1 | NY | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tift Regional Health System Inc | Current | Accepting new patients | |
| Hospital Authority of Valdosta and Lowndes County Georgia | Current | Accepting new patients | |
| Emory Medical Care Foundation Inc | Current | Accepting new patients | |
| Tift Regional Health System Inc | Current | Accepting new patients | |
| Emory Medical Care Foundation Inc | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Tift Regional Health System Inc | Current | Accepting new patients |
Locations
303 Parkway Dr NE
Atlanta, GA 30312
Phone (404) 265-4000
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370
101 W Ponce de Leon Ave
Decatur, GA 30030
Phone (404) 778-4889
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
2227 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-6188
901 18th St E
Tifton, GA 31794
Phone (229) 353-6208
2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139
Organizations & group practices 10
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.
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dba Southwell Mobile Clinic
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- NPI 1881203305
-
dba WellStar Family Medicine ACW
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
dba South Georgia Medical Center
- General Acute Care Hospital
- Valdosta, GA
- NPI 1306896253
-
- Diagnostic Radiology Physician
- Atlanta, GA
- NPI 1225294739
-
dba Greenleaf Center
- Psychiatric Hospital Unit
- Valdosta, GA
- NPI 1033160791
-
dba WorkSmart Occupational Medicine
- Clinic/Center
- Tifton, GA
- NPI 1003980996
-
dba Southwell Center for Healing and Wellness
- Family Medicine Physician
- Tifton, GA
- NPI 1124679014
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
dba WellStar Endocrinology (Austell)
- Endocrinology, Diabetes & Metabolism Physician
- Austell, GA
- NPI 1457766339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660694400000",
"number": "1073870358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1670 CLAIRMONT RD",
"city": "DECATUR",
"state": "GA",
"postal_code": "300334004",
"telephone_number": "404-321-6111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1670 CLAIRMONT RD",
"city": "DECATUR",
"state": "GA",
"postal_code": "300334004",
"telephone_number": "404-321-6111"
}
],
"practiceLocations": [
{
"address_1": "450 Clarkson Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "11203",
"country_code": "US",
"telephone_number": "718-270-4772",
"fax_number": "718-270-7201",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "303 Parkway Dr NE",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303121212",
"country_code": "US",
"telephone_number": "470-267-1760",
"fax_number": "470-986-7002",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAH",
"first_name": "ANAND",
"middle_name": "SUBHASH",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-11",
"last_updated": "2022-08-17",
"certification_date": "2022-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NY",
"license": "292949-1",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "GA",
"license": "72797",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ashah488515@directwellstar.org",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "303 Parkway Dr NE",
"city": "Atlanta",
"state": "GA",
"country_code": "US",
"postal_code": "303121212",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.