Individual provider Active NPI

Tirth J Shah, MD

  • Ophthalmology Physician
  • Athens, GA
National Provider Identifier
1407417363
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
96206 Issued in GA
Practice address
1620 Prince Ave
Athens, GA 30606-6008
Phone
(706) 546-0170
Fax
(706) 546-5015
NPI assigned
Jun 21, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R-11668 IA
Ophthalmology Physician 207W00000X R-11668 IA
Ophthalmology Physician 207W00000X 96206 GA Primary

Addresses

Primary practice location

1620 Prince Ave
Athens, GA 30606-6008

Mailing address

1620 Prince Ave
Athens, GA 30606-6008
Phone (706) 546-0170

Other practice location 1

1871 N Elm St
Commerce, GA 30529-2349
Phone (706) 546-0170

Other practice location 2

1030 Founders Row
Ste C
Greensboro, GA 30642-5334
Phone (706) 546-0170

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tshah@georgiaeyeclinic.com.intellechartdirect.net Health Information Exchange (HIE)

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
I20230726001939 GA Practitioner - Ophthalmology 0840651642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Arizona College of Medicine - Phoenix, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Eye LLCGroup PAC ID 4082046230, 4 clinicians

Practice addresses (Care Compare)

1620 Prince Ave
Athens, GA 30606-6008
Phone (706) 546-0170

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.92 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.4

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R-11668IAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Eye LLC Ophthalmology CurrentSince Jul 12, 2023 Accepting new patients
Eye Specialists of America, LLC Ophthalmology PastSince Jul 12, 2023 Accepting new patients

Locations

140 Trinity Pl
#B
Athens, GA 30607
Phone (706) 389-0864

1620 Prince Ave
Athens, GA 30606
Phone (706) 546-0170

1871 N Elm St
Commerce, GA 30529
Phone (706) 546-0170

1030 Founders Row
Greensboro, GA 30642
Phone (706) 433-0723

1030 Founders Row
Ste C
Greensboro, GA 30642
Phone 7065460170 ext. 203

Interoperability endpoints

  • Direct secure messaging: tshah@georgiaeyeclinic.intellechartdirect.net

Organizations & group practices 2

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 1

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": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1407417363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 PRINCE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066008",
            "telephone_number": "706-546-0170",
            "fax_number": "706-546-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 PRINCE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066008",
            "telephone_number": "706-546-0170",
            "fax_number": "706-546-5015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1871 N Elm St",
            "address_purpose": "LOCATION",
            "city": "Commerce",
            "state": "GA",
            "postal_code": "305292349",
            "country_code": "US",
            "telephone_number": "706-546-0170",
            "fax_number": "706-546-5015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1030 Founders Row",
            "address_2": "Ste C",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "GA",
            "postal_code": "306425334",
            "country_code": "US",
            "telephone_number": "706-546-0170",
            "fax_number": "706-546-5015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "TIRTH",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-21",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "R-11668",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IA",
            "license": "R-11668",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "96206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tshah@georgiaeyeclinic.com.intellechartdirect.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1620 Prince Ave",
            "city": "Athens",
            "state": "GA",
            "country_code": "US",
            "postal_code": "306066008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.