Individual provider Active NPI

Reshma Shah, M.D.

  • Family Medicine Physician
  • Suwanee, GA
National Provider Identifier
1194771527
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
046487 Issued in GA
Practice address
3890 Johns Creek Pkwy Ste 230
Suwanee, GA 30024-1286
Phone
(770) 623-1331
Fax
(770) 623-5674
NPI assigned
May 26, 2006
Last updated
Oct 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 046487 GA Primary

Addresses

Primary practice location

3890 Johns Creek Pkwy Ste 230
Suwanee, GA 30024-1286

Mailing address

4375 Johns Creek Pkwy
Suite 320
Suwanee, GA 30024-6085
Phone (770) 623-1331

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address reshmashah@pnfm.allscriptsdirect.net Direct

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
046487GAMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: reshmashah@pnfm.allscriptsdirect.net

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1194771527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4375 JOHNS CREEK PKWY",
            "address_2": "SUITE 320",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246085",
            "telephone_number": "770-623-1331",
            "fax_number": "770-623-5674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3890 JOHNS CREEK PKWY STE 230",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241286",
            "telephone_number": "770-623-1331",
            "fax_number": "770-623-5674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "RESHMA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "046487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "reshmashah@pnfm.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Edge",
            "address_1": "3890 Johns Creek Pkwy Ste 230",
            "city": "Suwanee",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300241286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.