Individual provider Active NPI

Amit D Shah, MD

  • Clinical Cardiac Electrophysiology Physician
  • Athens, GA
National Provider Identifier
1225062128
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
57839 Issued in GA
Practice address
2470 Daniells Bridge Rd Ste 251
Athens, GA 30606-6192
Phone
(706) 389-3440
Fax
(706) 353-2205
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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 57839 GA Primary

Addresses

Primary practice location

2470 Daniells Bridge Rd Ste 251
Athens, GA 30606-6192

Mailing address

PO Box 48089
Athens, GA 30604-8089
Phone (706) 389-3740

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061013000289 GA Practitioner - Cardiac ElectrophysiologyPractitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 5991701930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Internal Medicine
Education
University of Maryland School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Mary'S Medical Group, Inc.Group PAC ID 7113098393, 118 clinicians

Practice addresses (Care Compare)

1110 Commerce Dr
Suite 108
Greensboro, GA 30642-7444
Phone (706) 310-1859

1230 Baxter St
Athens, GA 30606-3712
Phone (706) 389-3000

1500 Oglethorpe Ave
Suite 3700
Athens, GA 30606-2191
Phone (706) 389-3440

2470 Daniells Bridge Rd
Athens, GA 30606-6192

355 Clear Creek Pkwy
Lavonia, GA 30553-4271

868 Michael Etchison Rd
Monroe, GA 30655-8204

Hospital & facility affiliations

  • St Mary'S Hospital Hospital, Athens, GA, CCN 110006
  • Ty Cobb Regional Medical Center, LLC Hospital, Lavonia, GA, CCN 110027
  • Piedmont Athens Regional Medical Center Hospital, Athens, GA, CCN 110074
  • St Marys Good Samaritan Hospital Hospital, Greensboro, GA, CCN 111329
  • Elbert Memorial Hospital Hospital, Elberton, GA, CCN 111337

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair64

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary'S Medical Group, Inc Cardiovascular Disease Current Accepting new patients
St. Mary'S Medical Group, Inc. CurrentSince Nov 1, 2008 Accepting new patients
St. Mary'S Medical Group, Inc. CurrentSince Nov 1, 2008 Accepting new patients
St. Mary'S Hospital, Inc. Past Accepting new patients

Locations

740 Prince Ave
Ste 2
Athens, GA 30606
Phone (706) 548-5488

1230 Baxter St
Athens, GA 30606
Phone (706) 364-3100

2470 Daniells Bridge Rd
Ste 251
Athens, GA 30606
Phone (706) 310-1859

355 Clear Creek Pkwy
Ste 2004
Lavonia, GA 30553
Phone (706) 356-0554

Interoperability endpoints

  • Direct secure messaging: ashah2022186@direct.trinity-health.org
  • FHIR API: https://api.platform.athenahealth.com/7598/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1225062128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48089",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306048089",
            "telephone_number": "706-389-3740",
            "fax_number": "706-389-3951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 DANIELLS BRIDGE RD STE 251",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066192",
            "telephone_number": "706-389-3440",
            "fax_number": "706-353-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "AMIT",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "GA",
            "license": "57839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.