Individual provider Active NPI

Shah Inayat, M.D.

  • Internal Medicine Physician
  • Norcross, GA
National Provider Identifier
1265656789
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
047908 Issued in GA
Practice address
5345 Jimmy Carter Blvd Suite I
Norcross, GA 30093
Phone
(770) 409-7338
Fax
(770) 409-7339
NPI assigned
Apr 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 047908 GA Primary

Addresses

Primary practice location

5345 Jimmy Carter Blvd Suite I
Norcross, GA 30093

Mailing address

5345 Jimmy Carter Blvd Suite I
Norcross, GA 30093
Phone (770) 409-7338

Other identifiers 1

IdentifierTypeStateIssuer
00886971AMedicaidGA

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
I20080602000465 GA Practitioner - Internal Medicine 7810067931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5345 Jimmy Carter Blvd
I
Norcross, GA 30093-1515
Phone (770) 409-7338

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medico Familiar Inc. CurrentSince Apr 24, 2008 Accepting new patients

Locations

5345 Jimmy Carter Blvd
Ste 1
Norcross, GA 30093

5345 Jimmy Carter Blvd
Ste I
Norcross, GA 30093
Phone (770) 409-7338

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BHAACD/Endpoint/BHAACD

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.

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1265656789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5345 JIMMY CARTER BLVD SUITE I",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "30093",
            "telephone_number": "770-409-7338",
            "fax_number": "770-409-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5345 JIMMY CARTER BLVD SUITE I",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "30093",
            "telephone_number": "770-409-7338",
            "fax_number": "770-409-7339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INAYAT",
        "first_name": "SHAH",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "047908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00886971A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

Verify at the official NPI Registry.