Active NPI
Shailesh Gandhi, M.D.
- Psychiatry Physician
- Conyers, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- C53284
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000494711B | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, CA, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| C53284 | CA | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edgerton Hospital and Health Services, Inc | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| Shailesh Gandhi,MD,PC | Current | Accepting new patients | |
| Department of State Hospitals | Current | Accepting new patients | |
| Department of State Hospitals | Current | Accepting new patients | |
| Department of State Hospitals | Current | Accepting new patients | |
| Edgerton Hospital and Health Services Inc | Psychiatry | Current | Accepting new patients |
| Edgerton Hospital and Health Services Inc. | Current | 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
- sgandhi447009@direct-ehr-ssmhc.com
- 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Smyrna, GA
- NPI 1952468316
-
- Critical Access Hospital
- Edgerton, WI
- NPI 1154350049
-
- Psychiatric Hospital
- Coalinga, CA
- NPI 1124078704
-
- Adult Mental Health Clinic/Center
- San Pablo, CA
- NPI 1376620336
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1699885079
-
- Psychiatry Physician
- Santa Rosa, CA
- NPI 1083802979
-
- Clinic/Center
- San Jose, CA
- NPI 1154906634
-
- Pharmacy
- San Jose, CA
- NPI 1891871919
-
- Psychiatric Hospital
- Atascadero, CA
- NPI 1174573802
-
- Psychiatric Hospital
- Napa, CA
- NPI 1326098161
-
- Urgent Care Clinic/Center
- Whitewater, WI
- NPI 1982496295
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.