NPIMap

Individual provider Active NPI

Shalabh Chandra, MD

  • Clinical Cardiac Electrophysiology Physician
  • Gainesville, GA
National Provider Identifier
1144343708
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
86531 Issued in GA
Practice address
200 S Enota Dr NE Ste 480
Gainesville, GA 30501-3473
Phone
(770) 534-2020
Fax
(770) 534-8025
NPI assigned
Apr 9, 2007
Last updated
Dec 8, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X 86531 GA Primary

Addresses

Primary practice location

200 S Enota Dr NE Ste 480
Gainesville, GA 30501-3473

Mailing address

PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address schandra107437@nghs.gadirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200921000815 GA Practitioner - Cardiac ElectrophysiologyPractitioner - Advanced Heart Failure and Transplant Cardiology 0042357428 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Heart Institute LLCGroup PAC ID 4183848062, 127 clinicians

Practice addresses (Care Compare)

200 S Enota Dr NE
Suite 480
Gainesville, GA 30501-3473
Phone (770) 534-2020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.46 of 100Reported as group
Quality
85.33
Promoting interoperability
100
Improvement activities
40
Cost
76.19

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
86531GAMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Georgia Medical Center, Inc. CurrentSince Jan 26, 2022 Accepting new patients
Georgia Heart Institute LLC Clinical Cardiac Electrophysiology CurrentSince Oct 1, 2020 Accepting new patients
Northeast Georgia Heart Center Clinical Cardiac Electrophysiology Current Accepting new patients
Northeast Georgia Medical Center, Inc. Current Accepting new patients
NGMC Barrow LLC CurrentSince May 6, 2022 Accepting new patients
Edward W. Sparrow Hospital Association Past Accepting new patients
Edward W Sparrow Hospital Association Past Accepting new patients
Mwa, PC Past Accepting new patients
Riverbend Medical Group, Inc Past Accepting new patients
Hampden County Cardiovascular PastSince Jun 1, 2014 Accepting new patients

Locations

200 S Enota Dr NE
Ste 200
Gainesville, GA 30501
Phone (770) 534-0991

200 S Enota Dr NE
Ste 480
Gainesville, GA 30501
Phone (770) 219-0950

743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915

316 N Broad St
Winder, GA 30680
Phone (770) 307-5354

Interoperability endpoints

  • Direct secure messaging: shalanh.chandra@xdr.hhchealthdirect.org

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.

Hospital & facility affiliations 5

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": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1144343708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742616",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742616",
            "telephone_number": "770-219-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S ENOTA DR NE STE 480",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013473",
            "telephone_number": "770-534-2020",
            "fax_number": "770-534-8025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDRA",
        "first_name": "SHALABH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "GA",
            "license": "86531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "schandra107437@nghs.gadirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "200 S Enota Dr NE Ste 480",
            "city": "Gainesville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305013473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.