Individual provider Active NPI

Shveta Shah Raju, M.D.

  • Internal Medicine Physician
  • Duluth, GA
National Provider Identifier
1376748806
Registry record updated Jan 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
066052 Issued in GA
Practice address
10600 Medlock Bridge Rd
Duluth, GA 30097-8404
Phone
(770) 418-0818
Fax
(678) 206-0156
NPI assigned
Jun 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 241781 MA
Internal Medicine Physician 207R00000X 066052 GA Primary

Addresses

Primary practice location

10600 Medlock Bridge Rd
Duluth, GA 30097-8404

Mailing address

10600 Medlock Bridge Rd
Duluth, GA 30097-8404

Other practice location 1

475 Philip Blvd Ste 300
Lawrenceville, GA 30046-8736
Phone (770) 995-3300

Other practice location 2

475 Philip Blvd Ste 100
Lawrenceville, GA 30046-8736
Phone (678) 226-6202

Other practice location 3

3068 Old Norcross Rd
Duluth, GA 30096-4914
Phone (770) 925-7232

Other practice location 4

3490 Pleasant Hill Rd
Duluth, GA 30096-3188
Phone (770) 814-2870

Other practice location 5

2327 Highway 29 E
Dacula, GA 30019-2205
Phone (770) 962-0054

Other practice location 6

4580 Nelson Brogdon Blvd
Buford, GA 30518-3478
Phone (770) 831-6703

Other practice location 7

5196 Highway 53
Braselton, GA 30517-3112
Phone (706) 824-9929

Other practice location 8

475 Philip Blvd Ste 200
Lawrenceville, GA 30046-8737
Phone (678) 226-6201

Other practice location 9

175 N Broad St
Winder, GA 30680-2153
Phone (770) 868-1144

Other practice location 10

4870 Lawrenceville Hwy
Tucker, GA 30084-2952
Phone (770) 496-1429

Other practice location 11

1740 Lawrenceville Hwy
Lawrenceville, GA 30044-4609
Phone (770) 995-5695

Other practice location 12

1289 Scenic Hwy
Lawrenceville, GA 30045-6358
Phone (770) 972-9000

Other practice location 13

455 Beaver Ruin Rd NW
Lilburn, GA 30047-3413
Phone (770) 923-7778

Other practice location 14

4397 Atlanta Hwy
Loganville, GA 30052-2642
Phone (770) 554-0800

Other practice location 15

1390 W Spring St
Monroe, GA 30655-1759
Phone (770) 266-6191

Other practice location 16

5595 Peachtree Pkwy
Norcross, GA 30092-2551
Phone (770) 242-8001

Other practice location 17

2764 W Main St
Snellville, GA 30078-5708
Phone (770) 978-3388

Other practice location 18

2650 Lawrenceville Suwanee Rd
Suwanee, GA 30024-4918
Phone (678) 205-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120123000432 GA Practitioner - Internal Medicine 0840323796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Emory University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gwinnett Clinic, LTDGroup PAC ID 9436061801, 44 clinicians

Practice addresses (Care Compare)

10600 Medlock Bridge Rd
Duluth, GA 30097-8404
Phone (770) 418-0818

1289 Scenic Hwy
Lawrenceville, GA 30045-6358
Phone (770) 972-9000

4580 Nelson Brogdon Blvd
Buford, GA 30518-3478
Phone (770) 831-6703

475 Philip Blvd
Lawrenceville, GA 30046-8736

475 Philip Blvd
Lawrenceville, GA 30046-8737

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
066052GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gwinnett Clinic, LTD Internal Medicine CurrentSince Jan 1, 2012 Accepting new patients
Gwinnett Clinic LTD Current Accepting new patients
Gwinnett Clinic, LTD Internal Medicine CurrentSince Jan 1, 2012 Accepting new patients

Locations

5196 Highway 53
Braselton, GA 30517
Phone (706) 824-9929

4580 Nelson Brogdon Blvd
Buford, GA 30518
Phone (770) 831-6703

2327 Winder Hwy
Dacula, GA 30019
Phone (770) 962-0054

3490 Pleasant Hill Rd
Duluth, GA 30096
Phone (770) 814-2870

3068 Old Norcross Rd
Duluth, GA 30096
Phone (770) 925-7232

10600 Medlock Bridge Rd
Johns Creek, GA 30097
Phone (770) 418-0818

475 Philip Blvd
Ste 200
Lawrenceville, GA 30046
Phone (678) 226-6201

1740 Lawrenceville Hwy
Lawrenceville, GA 30044
Phone (770) 995-5695

475 Philip Blvd
Ste 300
Lawrenceville, GA 30046

475 Philip Blvd
Ste 100
Lawrenceville, GA 30046
Phone (678) 226-6202

1289 Scenic Hwy
Lawrenceville, GA 30045
Phone (770) 972-9000

475 Philip Blvd
Ste 100301
Lawrenceville, GA 30046
Phone (770) 923-7301

455 Beaver Ruin Rd NW
Lilburn, GA 30047
Phone (770) 923-7778

4397 Atlanta Hwy
Loganville, GA 30052
Phone (770) 554-0800

1390 W Spring St
Monroe, GA 30655
Phone (770) 266-6191

5595 Peachtree Pkwy
Peachtree Corners, GA 30092
Phone (770) 242-8001

2764 W Main St
Snellville, GA 30078
Phone (770) 978-3388

2650 Lawrenceville Suwanee Rd
Suwanee, GA 30024
Phone (678) 205-5000

4870 Lawrenceville Hwy
Tucker, GA 30084
Phone (770) 496-1429

175 N Broad St
Winder, GA 30680
Phone (770) 868-1144

Interoperability endpoints

  • Direct secure messaging: shveta.raju.1@32352.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673654400000",
    "number": "1376748806",
    "addresses": [
        {
            "country_code": "US",
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            "address_purpose": "MAILING",
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            "address_1": "10600 MEDLOCK BRIDGE RD",
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            "state": "GA",
            "postal_code": "300978404"
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        {
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            "fax_number": "678-206-0156"
        }
    ],
    "practiceLocations": [
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            "fax_number": "770-995-3307",
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            "address_1": "475 Philip Blvd Ste 100",
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        {
            "address_1": "3068 Old Norcross Rd",
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            "fax_number": "770-638-3315",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3490 Pleasant Hill Rd",
            "address_purpose": "LOCATION",
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            "postal_code": "300963188",
            "country_code": "US",
            "telephone_number": "770-814-2870",
            "fax_number": "770-814-2872",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2327 Highway 29 E",
            "address_purpose": "LOCATION",
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            "state": "GA",
            "postal_code": "300192205",
            "country_code": "US",
            "telephone_number": "770-962-0054",
            "fax_number": "770-962-1747",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4580 Nelson Brogdon Blvd",
            "address_purpose": "LOCATION",
            "city": "Buford",
            "state": "GA",
            "postal_code": "305183478",
            "country_code": "US",
            "telephone_number": "770-831-6703",
            "fax_number": "770-831-6705",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5196 Highway 53",
            "address_purpose": "LOCATION",
            "city": "Braselton",
            "state": "GA",
            "postal_code": "305173112",
            "country_code": "US",
            "telephone_number": "706-824-9929",
            "fax_number": "706-654-9373",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "475 Philip Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300468737",
            "country_code": "US",
            "telephone_number": "678-226-6201",
            "fax_number": "678-225-4037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "175 N Broad St",
            "address_purpose": "LOCATION",
            "city": "Winder",
            "state": "GA",
            "postal_code": "306802153",
            "country_code": "US",
            "telephone_number": "770-868-1144",
            "fax_number": "770-868-1276",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4870 Lawrenceville Hwy",
            "address_purpose": "LOCATION",
            "city": "Tucker",
            "state": "GA",
            "postal_code": "300842952",
            "country_code": "US",
            "telephone_number": "770-496-1429",
            "fax_number": "770-270-5854",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1740 Lawrenceville Hwy",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300444609",
            "country_code": "US",
            "telephone_number": "770-995-5695",
            "fax_number": "678-205-8210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1289 Scenic Hwy",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300456358",
            "country_code": "US",
            "telephone_number": "770-972-9000",
            "fax_number": "770-736-0556",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "455 Beaver Ruin Rd NW",
            "address_purpose": "LOCATION",
            "city": "Lilburn",
            "state": "GA",
            "postal_code": "300473413",
            "country_code": "US",
            "telephone_number": "770-923-7778",
            "fax_number": "770-806-1383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4397 Atlanta Hwy",
            "address_purpose": "LOCATION",
            "city": "Loganville",
            "state": "GA",
            "postal_code": "300522642",
            "country_code": "US",
            "telephone_number": "770-554-0800",
            "fax_number": "770-554-0080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1390 W Spring St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "GA",
            "postal_code": "306551759",
            "country_code": "US",
            "telephone_number": "770-266-6191",
            "fax_number": "770-266-6707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5595 Peachtree Pkwy",
            "address_purpose": "LOCATION",
            "city": "Norcross",
            "state": "GA",
            "postal_code": "300922551",
            "country_code": "US",
            "telephone_number": "770-242-8001",
            "fax_number": "770-242-6279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2764 W Main St",
            "address_purpose": "LOCATION",
            "city": "Snellville",
            "state": "GA",
            "postal_code": "300785708",
            "country_code": "US",
            "telephone_number": "770-978-3388",
            "fax_number": "770-978-0807",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2650 Lawrenceville Suwanee Rd",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300244918",
            "country_code": "US",
            "telephone_number": "678-205-5000",
            "fax_number": "678-240-2080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAJU",
        "first_name": "SHVETA",
        "middle_name": "SHAH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-15",
        "last_updated": "2023-01-14",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "241781",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "066052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

Verify at the official NPI Registry.