Active NPI
Shepard Health LLC
- Clinical Medical Laboratory
- Sandy Springs, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- SHEPARD HEALTH LLC
- Practice address
- 8601 Dunwoody PL Ste 338
Sandy Springs, GA 30350-2522 - Phone
- (770) 558-3393
- Fax
- (678) 691-2292
- NPI assigned
- Jan 7, 2021
- Reactivated
- Apr 6, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yann Gerville-Reache
- Title
- Owner/Cfo
- Phone
- (470) 657-3976
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
8601 Dunwoody PL Ste 338
Sandy Springs, GA 30350-2522
Mailing address
8601 Dunwoody PL Ste 338
Sandy Springs, GA 30350-2522
Phone (770) 558-3393
Other practice location 1
16801 Greenspoint Park Dr Ste 125
Houston, TX 77060-2303
Phone (770) 558-3393
Other practice location 2
14797 Philips Hwy Ste 103
Jacksonville, FL 32256-3746
Phone (770) 558-3393
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295323053 | Medicaid | TX | |
| 003259115A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, TX
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210621000364 | GA | Part B Supplier - Independent Clinical Laboratory | 0345655676 | Practice locations: Sandy Springs, GA |
| O20240411001066 | TX | Part B Supplier - Independent Clinical Laboratory | 0345655676 | Practice locations: Houston, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2202138 | Shepard Health | Accreditation | Aug 29, 2026 |
National Provider Directory
National Provider DirectoryLocations
8601 Dunwoody Pl
Ste 338
Sandy Springs, GA 30350
Phone (770) 558-3393
11811 North Fwy
Ste 416
Houston, TX 77060
Phone (346) 566-8700
16801 Greenspoint Park Dr
Ste 125
Houston, TX 77060
Phone (770) 558-3393
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609977600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784851200000",
"number": "1295323053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8601 DUNWOODY PL STE 338",
"city": "SANDY SPRINGS",
"state": "GA",
"postal_code": "303502522",
"telephone_number": "770-558-3393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8601 DUNWOODY PL STE 338",
"city": "SANDY SPRINGS",
"state": "GA",
"postal_code": "303502522",
"telephone_number": "770-558-3393",
"fax_number": "678-691-2292"
}
],
"practiceLocations": [
{
"address_1": "16801 Greenspoint Park Dr Ste 125",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770602303",
"country_code": "US",
"telephone_number": "770-558-3393",
"fax_number": "678-691-2232",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14797 Philips Hwy Ste 103",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322563746",
"country_code": "US",
"telephone_number": "770-558-3393",
"fax_number": "678-691-2232",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SHEPARD HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-07",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"deactivation_date": "2026-03-19",
"reactivation_date": "2026-04-06",
"status": "A",
"authorized_official_last_name": "GERVILLE-REACHE",
"authorized_official_first_name": "YANN",
"authorized_official_title_or_position": "OWNER/CFO",
"authorized_official_telephone_number": "470-657-3976"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1295323053",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003259115A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sandy Springs, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.