Active NPI
Shilpa A Rege, PA-AA
- Anesthesiologist Assistant
- Macon, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- 006302
- Practice address
- 380 Hospital Dr
Suite 410
Macon, GA 31217 - Phone
- (478) 746-5644
- NPI assigned
- Oct 26, 2011
- Last updated
- Sep 9, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | GA | ||
| Anesthesiologist Assistant | 367H00000X | 006302 | GA | Primary |
Addresses
Primary practice location
380 Hospital Dr
Suite 410
Macon, GA 31217
Mailing address
PO Box 2564
Macon, GA 31203-2565
Phone (478) 746-5644
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 636689 | Other | GA | WELLCARE |
| 003115954A | Medicaid | GA | |
| 003115954D | Medicaid | GA | |
| 003115954C | Medicaid | GA | |
| 003115954B | Medicaid | GA | |
| 580628385 | Other | GA | TRICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Emory University School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Medical Ctr Blvd
Lawrenceville, GA 30046-7694
Phone (678) 312-1000
3620 Howell Ferry Rd
Duluth, GA 30096-3178
Phone (678) 312-6800
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Atlanta Professional Services LLC | Current | Accepting new patients | |
| American Anesthesiology Associates of Georgia, LLC | Current | Accepting new patients | |
| North Atlanta Anesthesia Professionals, LLC | Current | Accepting new patients |
Locations
2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000
3215 McClure Bridge Rd
Duluth, GA 30096
Phone (678) 312-6000
1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356
1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1982349296
-
- Anesthesiology Physician
- Stone Mountain, GA
- NPI 1528068673
-
- Psychologist
- Atlanta, GA
- NPI 1316959869
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northside Hospital Gwinnett
- General Acute Care Hospital
- Lawrenceville, GA
- NPI 1952340994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378684800000",
"number": "1174809859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2564",
"city": "MACON",
"state": "GA",
"postal_code": "312032565",
"telephone_number": "478-746-5644",
"fax_number": "478-745-4849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 HOSPITAL DR",
"address_2": "SUITE 410",
"city": "MACON",
"state": "GA",
"postal_code": "31217",
"telephone_number": "478-746-5644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REGE",
"first_name": "SHILPA",
"middle_name": "A",
"credential": "PA-AA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-26",
"last_updated": "2013-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "GA",
"license": null,
"primary": false
},
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "GA",
"license": "006302",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "636689",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003115954A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003115954D",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003115954C",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003115954B",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "580628385",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
- Cynthia Bernadette Reese, OTR
- Christopher B Reeves, MD
- Courtney Reeves, AGNP-C
- Kristin E Reeves, PT, DPT,
- Susan Dixon Reeves
- Regency Hospital Company of Macon LLC
- Regency Hospital Company of Macon LLC
- Rehabilitation Physician Specialists of Georgia, PC
- Muhammad Rehan, M.D.
- Dorothy Wynens Rehberg, LPC, LMFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.