Individual provider Active NPI

Shailesh Gandhi, M.D.

  • Psychiatry Physician
  • Conyers, GA
National Provider Identifier
1326218686
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C53284 Issued in CA
Practice address
1814 Lakefield CT SE Ste a
Conyers, GA 30013-1776
Phone
(770) 277-7195
Fax
(888) 747-9242
NPI assigned
Mar 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X C53284 CA
Child & Adolescent Psychiatry Physician 2084P0804X 034139 GA
Psychiatry Physician 2084P0800X C53284 CA Primary

Addresses

Primary practice location

1814 Lakefield CT SE Ste a
Conyers, GA 30013-1776

Mailing address

6555 Sugarloaf Pkwy # 258-307
Duluth, GA 30097-4930
Phone (770) 277-7195

Other identifiers 1

IdentifierTypeStateIssuer
000494711BMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, CA, WI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040921000885 GA Practitioner - Psychiatry 5597733147 Reassigns benefits to 1 organization
I20091130000268 CA Practitioner - Psychiatry 5597733147 Reassigns benefits to 4 organizations
I20230418001526 WI Practitioner - Psychiatry 5597733147 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edgerton Hospital and Health Services, IncGroup PAC ID 7719874502, 40 clinicians

Practice addresses (Care Compare)

111 W Fulton St
Edgerton, WI 53534-1876
Phone (608) 561-6614

845 Scenic Hwy
Suite 100
Lawrenceville, GA 30046-7104
Phone (770) 277-7195

Merit-based Incentive Payment System (MIPS)

Final score
69.34 of 100Reported as group
Quality
87.81
Promoting interoperability
100
Improvement activities
40
Cost
10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C53284CAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edgerton Hospital and Health Services, Inc CurrentSince Feb 10, 2023 Accepting new patients
County of Santa Clara CurrentSince Nov 1, 2025 Accepting new patients
County of Santa Clara CurrentSince Nov 1, 2025 Accepting new patients
Shailesh Gandhi,MD,PC CurrentSince Jan 1, 1994 Accepting new patients
Department of State Hospitals CurrentSince Jan 27, 2019 Accepting new patients
Department of State Hospitals CurrentSince Jan 27, 2019 Accepting new patients
Department of State Hospitals Current Accepting new patients
Edgerton Hospital and Health Services Inc Psychiatry CurrentSince Feb 10, 2023 Accepting new patients
Edgerton Hospital and Health Services Inc. CurrentSince Oct 1, 2025 Accepting new patients

Locations

10333 El Camino Real
Atascadero, CA 93422
Phone (805) 468-2000

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

2100 Napa Vallejo Hwy
Napa, CA 94558
Phone (707) 253-5000

1600 9th St
Ste 150
Sacramento, CA 95814
Phone (916) 651-8811

1215 O St
#3
Sacramento, CA 95814
Phone (916) 651-2805

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

2035 Flat Shoals Rd SE
Conyers, GA 30013
Phone (770) 209-2787

1814 Lakefield Ct SE
Ste A
Conyers, GA 30013
Phone (770) 277-7195

6555 Sugarloaf Pkwy
Ste 307
Duluth, GA 30097

845 Scenic Hwy
Ste 100
Lawrenceville, GA 30046
Phone (404) 327-8744

4799 Sugarloaf Pkwy
Ste G
Lawrenceville, GA 30044
Phone (770) 277-7195

11101 N Sherman Rd
Edgerton, WI 53534
Phone (608) 884-1695

831 Arthur Dr
Milton, WI 53563
Phone (608) 868-3526

Interoperability endpoints

  • Direct secure messaging: sgandhi447009@direct-ehr-ssmhc.com
  • Direct secure messaging: pcharuworn61931@santaclaravalley.direct-ci.net

Organizations & group practices 12

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": "1204502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1326218686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6555 SUGARLOAF PKWY # 258-307",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300974930",
            "telephone_number": "770-277-7195",
            "fax_number": "888-747-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 LAKEFIELD CT SE STE A",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300131776",
            "telephone_number": "770-277-7195",
            "fax_number": "888-747-9242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDHI",
        "first_name": "SHAILESH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-03",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "C53284",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "GA",
            "license": "034139",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C53284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000494711B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

Verify at the official NPI Registry.