Active NPI
Ashley Shim
- Pediatrics Physician
- Stockbridge, GA
National Provider Identifier
1134869399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 104478
- Practice address
- 1510 Hudson Bridge Rd
Stockbridge, GA 30281-5020 - Phone
- (404) 785-8660
- NPI assigned
- Mar 29, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 104478 | GA | Primary |
Addresses
Primary practice location
1510 Hudson Bridge Rd
Stockbridge, GA 30281-5020
Mailing address
1510 Hudson Bridge Rd
Stockbridge, GA 30281-5020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104478 | GA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751932800000",
"number": "1134869399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1510 HUDSON BRIDGE RD",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302815020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1510 HUDSON BRIDGE RD",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302815020",
"telephone_number": "404-785-8660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIM",
"first_name": "ASHLEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-29",
"last_updated": "2025-07-08",
"certification_date": "2025-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "104478",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockbridge, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.