Active NPI
Nimesh Navin Shah, M.D.
- Surgery Physician
- Decatur, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 074098
- Practice address
- 2675 N Decatur Rd
Suite 609
Decatur, GA 30033-6131 - Phone
- (404) 501-9170
- Fax
- (404) 974-2699
- NPI assigned
- Jun 21, 2010
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 074098 | GA | Primary |
Addresses
Primary practice location
2675 N Decatur Rd
Suite 609
Decatur, GA 30033-6131
Mailing address
2675 N Decatur Rd
Suite 609
Decatur, GA 30033-6131
Phone (404) 501-9170
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
- General Surgery
- Education
- University of Tennessee, HSC, College of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1821 Clifton Rd NE
Atlanta, GA 30329-4021
Phone (404) 728-6812
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.51 of 100
- Quality
- 80.61
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 1-10 |
| Removal of tissue | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 074098 | GA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emory Specialty Associates, LLC | Current | Accepting new patients |
Locations
1776 Old Spring House Ln
Atlanta, GA 30338
Phone (770) 454-0091
1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812
2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193
2675 N Decatur Rd
Decatur, GA 30033
Phone (404) 292-1144
2665 N Decatur Rd
Decatur, GA 30033
Phone (404) 299-2223
2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000
450 N Candler St
Decatur, GA 30030
Phone (404) 501-6100
2675 N Decatur Rd
Ste 609
Decatur, GA 30033
Phone (404) 501-9170
7823 Spivey Station Blvd
#2
Jonesboro, GA 30236
Phone (770) 897-7277
11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277
2356 Lenora Church Rd
Snellville, GA 30078
Phone (770) 972-0340
1600 Medical Way
Snellville, GA 30078
Phone (770) 979-9903
2801 DeKalb Medical Pkwy
Stonecrest, GA 30058
Phone (404) 501-5374
Interoperability endpoints
- nshah20271@direct.emory.org
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Lagrange, GA
- NPI 1407864168
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Decatur, GA
- NPI 1093716979
-
- General Acute Care Hospital
- Lithonia, GA
- NPI 1962403865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467676800000",
"number": "1245551563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2675 N DECATUR RD",
"address_2": "SUITE 609",
"city": "DECATUR",
"state": "GA",
"postal_code": "300336131",
"telephone_number": "404-501-9170",
"fax_number": "404-974-2699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2675 N DECATUR RD",
"address_2": "SUITE 609",
"city": "DECATUR",
"state": "GA",
"postal_code": "300336131",
"telephone_number": "404-501-9170",
"fax_number": "404-974-2699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "NIMESH",
"middle_name": "NAVIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-21",
"last_updated": "2016-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "GA",
"license": "074098",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; 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.