Active NPI
Shany Cohen-Sadan
- Family Medicine Physician
- Cumming, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 101590
- Practice address
- 610 Peachtree Pkwy Ste 130
Cumming, GA 30041-9778 - Phone
- (770) 205-2804
- Fax
- (770) 205-2854
- NPI assigned
- Mar 30, 2021
- Last updated
- Oct 23, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 101590 | GA | Primary |
Addresses
Primary practice location
610 Peachtree Pkwy Ste 130
Cumming, GA 30041-9778
Mailing address
4561 Edgemere Trce
Marietta, GA 30062-5779
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 Compare- Specialty
- Family Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1110 W Peachtree St NW
Suite 200
Atlanta, GA 30309-3609
Phone (404) 575-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northside Primary Care Professional Services, LLC | Current | Accepting new patients | |
| Northside Urgent Care Holding, LLC | Current | Accepting new patients | |
| Northside Primary Care Professional Services,LLC | Family Medicine | Current | Accepting new patients |
| Internal Medicine Associates of Johns Creek | Past | Accepting new patients |
Locations
1110 W Peachtree St NW
Ste 200
Atlanta, GA 30309
Phone (404) 575-2000
1110 W Peachtree St NW
Ste 200B
Atlanta, GA 30309
Phone (404) 575-2000
610 Peachtree Pkwy
Ste 130
Cumming, GA 30041
Phone (770) 205-2804
81 Northside Dawson Dr
Ste 100A
Dawsonville, GA 30534
Phone (706) 216-6000
4800 Olde Towne Pkwy
Ste 150
Marietta, GA 30068
Phone (770) 509-1025
1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737
3350 Paddocks Pkwy
Suwanee, GA 30024
Phone (678) 474-9633
Organizations & group practices 4
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.
-
- Urgent Care Clinic/Center
- Atlanta, GA
- NPI 1679962237
-
- Family Medicine Physician
- Atlanta, GA
- NPI 1922397553
-
- Urgent Care Clinic/Center
- Dawsonville, GA
- NPI 1215369715
-
- Internal Medicine Physician
- Suwanee, GA
- NPI 1992829717
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tugaloo Home Health Agency, an Amedisys Company
- Home Health Agency
- Gainesville, GA
- NPI 1912955667
-
dba Northside Hospital Forsyth
- General Acute Care Hospital
- Cumming, GA
- NPI 1376574277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729641600000",
"number": "1114505435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4561 EDGEMERE TRCE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300625779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 PEACHTREE PKWY STE 130",
"city": "CUMMING",
"state": "GA",
"postal_code": "300419778",
"telephone_number": "770-205-2804",
"fax_number": "770-205-2854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN-SADAN",
"first_name": "SHANY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-30",
"last_updated": "2024-10-23",
"certification_date": "2024-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "101590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.