Shivani Sethi, M.D.

Primary specialty

Pediatric Ophthalmology and Strabismus Specialist PhysicianTaxonomy code 207WX0110X

License

073394 Issued in GA

Practice address

355 Tower Rd NE Ste 102
Marietta, GA 30060-9410

Phone

(770) 422-4055

Fax

(770) 528-6977

NPI assigned

Mar 26, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Eye Consultants of Atlanta, PC

  • Ophthalmology Physician
  • Atlanta, GA
  • NPI 1770679094
  Medicare reassignment NPD
• Eca Optical, LLC

  • Eyewear Supplier
  • Marietta, GA
  • NPI 1306061114
  NPD
• Eye Consultants of Atlanta Piedmont

  • Ophthalmologic Surgery Clinic/Center
  • Atlanta, GA
  • NPI 1003993965

  Ophthalmology

  NPD (past)

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

{
    "created_epoch": "1269561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1235453705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 CUMBERLAND BLVD SE",
            "address_2": "SUITE 900",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303396407",
            "telephone_number": "404-351-2220",
            "fax_number": "404-352-5392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 TOWER RD NE STE 102",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300609410",
            "telephone_number": "770-422-4055",
            "fax_number": "770-528-6977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SETHI",
        "first_name": "SHIVANI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-26",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "073394",
            "primary": false
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "GA",
            "license": "073394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003160162A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Serenity Life Healthcare
• Serenity Springs Healthcare Services LLC
• Serenity Wellness Studio LLC
• Serenitylink in-Home Care LLC
• Erica Lynn Sessler Pancoast, PA-C
• Jessie Mae Seward, D.C., L.M.T.
• Kevin James Sexton, MD
• Susan Capitan Sexton, NCTMB
• Feven Berhe Seyoum
• Sfog Acquisition LLC

• Pediatric Ophthalmology and Strabismus Specialist Physician in Marietta, GA
• Providers in Marietta, GA by specialty
• Pediatric Ophthalmology and Strabismus Specialist Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.