Individual provider Active NPI

Weilong Jeffrey Shi, MD

  • Orthopaedic Surgery Physician
  • Conyers, GA
National Provider Identifier
1265966121
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
95982 Issued in GA
Practice address
1301 Sigman Rd NE Ste 125
Conyers, GA 30012-3820
Phone
(678) 413-6276
Fax
(678) 413-6277
NPI assigned
Apr 18, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 95982 GA Primary

Addresses

Primary practice location

1301 Sigman Rd NE Ste 125
Conyers, GA 30012-3820

Mailing address

900 Circle 75 Pkwy SE Ste 1700
Atlanta, GA 30339-3087
Phone (770) 953-6929

Other names 1

  • Jeff Shi Other name

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
I20230927002708 GA Practitioner - Orthopedic Surgery 0143600791 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Emory University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Orthopedics, LLCGroup PAC ID 4385963172, 191 clinicians

Practice addresses (Care Compare)

1301 Sigman Rd NE
Suite 125
Conyers, GA 30012-3820
Phone (678) 413-6276

Hospital & facility affiliations

  • Piedmont Home Health Home health agency, Athens, GA, CCN 117125
  • Central Home Health Care, an Amedisys Company Home health agency, Tucker, GA, CCN 117026
  • Piedmont Rockdale Hospital Hospital, Conyers, GA, CCN 110091
  • Piedmont Newton Hospital Hospital, Covington, GA, CCN 110018

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement20

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Orthopedics, LLC Orthopaedic Surgery CurrentSince Sep 27, 2023 Accepting new patients
Orthoatlanta, LLC Orthopaedic Surgery CurrentSince Oct 1, 2023 Accepting new patients
Orthoatlanta, LLC Orthopaedic Surgery CurrentSince Oct 1, 2023 Accepting new patients
Orthoatlanta, LLC Orthopaedic Surgery Current Accepting new patients
Orthoatlanta, LLC Orthopaedic Surgery Past Accepting new patients
Orthoatlanta, LLC Orthopaedic Surgery Past Accepting new patients

Locations

900 Circle 75 Pkwy SE
Ste 1700
Atlanta, GA 30339
Phone (770) 953-6929

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

1301 Sigman Rd NE
Ste 125
Conyers, GA 30012
Phone (678) 413-6276

1265 Highway 54 W
Ste 200
Fayetteville, GA 30214
Phone (404) 785-8785

1265 Highway 54 W
Ste 308
Fayetteville, GA 30214
Phone (678) 216-0771

8225 Mall Pkwy
Ste 110
Lithonia, GA 30038
Phone (678) 723-6434

620 Cherokee St NE
Ste 300
Marietta, GA 30060
Phone (770) 635-1812

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/327/brand/1/csg/21/fhir/r4

Organizations & group practices 6

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 4

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": "1492473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1265966121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CIRCLE 75 PKWY SE STE 1700",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303393087",
            "telephone_number": "770-953-6929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SIGMAN RD NE STE 125",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123820",
            "telephone_number": "678-413-6276",
            "fax_number": "678-413-6277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHI",
        "first_name": "WEILONG",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-18",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "95982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEFF",
            "last_name": "SHI",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Conyers, GA

Sources for this page

Verify at the official NPI Registry.