Active NPI
Shilpa R Shah, MD
- Pediatrics Physician
- Tucker, GA
National Provider Identifier
1366488793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 043477
- Practice address
- 1390 Montreal Rd Ste 180
Tucker, GA 30084-8187 - Phone
- (404) 446-4600
- Fax
- (404) 446-4601
- NPI assigned
- Jun 22, 2006
- Last updated
- Apr 29, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 043477 | GA | Primary |
| Pediatrics Physician | 208000000X | 200301286 | NC |
Addresses
Primary practice location
1390 Montreal Rd Ste 180
Tucker, GA 30084-8187
Mailing address
1390 Montreal Rd Ste 180
Tucker, GA 30084-8187
Phone (919) 923-2750
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 043477 | GA | MD | Pediatrics Physician |
| 200301286 | NC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dekalb Pediatric Associates PC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FCBBAA
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777420800000",
"number": "1366488793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1390 MONTREAL RD STE 180",
"city": "TUCKER",
"state": "GA",
"postal_code": "300848187",
"telephone_number": "919-923-2750",
"fax_number": "404-446-4601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1390 MONTREAL RD STE 180",
"city": "TUCKER",
"state": "GA",
"postal_code": "300848187",
"telephone_number": "404-446-4600",
"fax_number": "404-446-4601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "SHILPA",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-22",
"last_updated": "2026-04-29",
"certification_date": "2026-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "043477",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "200301286",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucker, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.