Active NPI
Sharmila Shetty, MD
- Pediatrics Physician
- Decatur, GA
National Provider Identifier
1245576115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 68559
- Practice address
- 446 Woodhaven Dr
Decatur, GA 30030-1650 - Phone
- (443) 854-3343
- NPI assigned
- Dec 21, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 68559 | GA | Primary |
Addresses
Primary practice location
446 Woodhaven Dr
Decatur, GA 30030-1650
Mailing address
446 Woodhaven Dr
Decatur, GA 30030-1650
Phone (443) 854-3343
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68559 | GA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356048000000",
"number": "1245576115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "446 WOODHAVEN DR",
"city": "DECATUR",
"state": "GA",
"postal_code": "300301650",
"telephone_number": "443-854-3343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "446 WOODHAVEN DR",
"city": "DECATUR",
"state": "GA",
"postal_code": "300301650",
"telephone_number": "443-854-3343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHETTY",
"first_name": "SHARMILA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-21",
"last_updated": "2012-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "68559",
"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 Dec 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.