Active NPI
Asif Rashid Shah, MBBS
- Internal Medicine Physician
- Thomasville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 66419
- Practice address
- 915 Gordon Ave
Thomasville, GA 31792-6614 - Phone
- (229) 228-8575
- NPI assigned
- Sep 18, 2008
- Last updated
- May 2, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 66419 | GA | Primary |
Addresses
Primary practice location
915 Gordon Ave
Thomasville, GA 31792-6614
Mailing address
915 Gordon Ave
Sisters of Charity Hospital
Thomasville, GA 31792-6614
Phone (229) 228-8575
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
- Internal Medicine
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
501 Redmond Rd NW
Rome, GA 30165-1415
Phone (706) 802-3018
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66419 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apogee Medical Group Georgia Inc | Internal Medicine | Current | Accepting new patients |
| Ecc Hospitalist Services PC | Internal Medicine | Current | Accepting new patients |
| Hospital Physician Services - Southeast Professional Corporation | Current | Accepting new patients | |
| Redmond Park Hospital, LLC | Past | Accepting new patients |
Locations
200 Allen Memorial Dr
Bremen, GA 30110
Phone (770) 537-5851
501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291
1700 Medical Way
Snellville, GA 30078
Phone (770) 978-4229
801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371
915 Gordon Ave
Thomasville, GA 31792
Phone (229) 228-8575
2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139
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.
-
- Hospitalist Physician
- Monroe, GA
- NPI 1760410385
-
- Internal Medicine Physician
- Carrollton, GA
- NPI 1629025143
-
dba Adventhealth Redmond
- General Acute Care Hospital
- Rome, GA
- NPI 1508810565
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Atrium Health Floyd Medical Center
- General Acute Care Hospital
- Rome, GA
- NPI 1154377166
-
dba Adventhealth Redmond
- General Acute Care Hospital
- Rome, GA
- NPI 1508810565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335916800000",
"number": "1144479726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 GORDON AVE",
"address_2": "SISTERS OF CHARITY HOSPITAL",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "317926614",
"telephone_number": "229-228-8575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 GORDON AVE",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "317926614",
"telephone_number": "229-228-8575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "ASIF",
"middle_name": "RASHID",
"name_prefix": "Dr.",
"credential": "MBBS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-18",
"last_updated": "2012-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "66419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Thomasville, GA
- Senior Life Pharmacy Ga LLC (Senior Life Pharmacy)
- Senior Life Pharmacy Ga LLC (Senior Life Pharmacy)
- Senior Life Pharmacy Ga, LLC (Senior Life Pharmacy)
- Shanda Latrell Sermons, PHARM.D
- Darren Logan Seymour, PT, DPT
- Shalom Counseling Services, LLC
- Jameisha Shavers, PHARMD
- Shaw Center for Women's Health
- Shaw Living PC
- Ansley Shaw, M.ED., CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; 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.