Organization Active NPI

Shepard Health LLC

  • Clinical Medical Laboratory
  • Sandy Springs, GA
National Provider Identifier
1295323053
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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

Updated by the provider on Jul 24, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1295323053MedicaidTX
003259115AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2202138Shepard Health8601 Dunwoody Place, Suite 338, Sandy Springs, GA 30350AccreditationAug 29, 2026

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.