Individual provider Active NPI

Asiya Khan Shakir, M.D.

  • Pediatric Gastroenterology Physician
  • Atlanta, GA
National Provider Identifier
1457790388
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
83786 Issued in GA
Practice address
5445 Meridian Marks Rd Ste 490
Atlanta, GA 30342-4794
Phone
(404) 843-6320
Fax
(404) 843-6321
NPI assigned
Jun 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology Physician 2080P0206X 32128 OK
Pediatric Gastroenterology Physician 2080P0206X 83786 GA Primary

Addresses

Primary practice location

5445 Meridian Marks Rd Ste 490
Atlanta, GA 30342-4794

Mailing address

1200 Childrens Ave
Oucp 14400
Oklahoma City, OK 73104-4637
Phone (405) 271-5312

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
I20191216001347 GA Practitioner - Pediatric Medicine 1052554680 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
83786GAMDPediatric Gastroenterology Physician
32128OKMDPediatric Gastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aga, LLC CurrentSince Oct 1, 2019 Accepting new patients
Scottish Rite Children'S Medical Center Past Accepting new patients

Locations

2020 Cumming Hwy
#102
Canton, GA 30115
Phone (678) 593-1295

1501 Milstead Rd NE
Ste 120
Conyers, GA 30012
Phone (678) 745-3033

3855 Pleasant Hill Rd
Ste 360
Duluth, GA 30096
Phone (678) 745-3030

2660 Satellite Blvd
Duluth, GA 30096
Phone (404) 785-8330

488 Kennesaw Ave NW
Ste 200
Marietta, GA 30060
Phone (770) 427-3075

488 Kennesaw Ave NW
Ste 150
Marietta, GA 30060
Phone (770) 427-3075

2520 Windy Hill Rd SE
Ste 102
Marietta, GA 30067
Phone (770) 612-8165

5671 Peachtree Dunwoody Rd
Ste 511
Sandy Springs, GA 30342

5445 Meridian Mark Rd
Ste 490
Sandy Springs, GA 30342
Phone (404) 252-9307

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

150 N Park Trl
#B
Stockbridge, GA 30281
Phone (770) 507-0909

1305 Jennings Mill Rd
Ste 260
Watkinsville, GA 30677
Phone (706) 548-0008

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.

NPI Registry JSON

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1457790388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CHILDRENS AVE",
            "address_2": "OUCP 14400",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731044637",
            "telephone_number": "405-271-5312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5445 MERIDIAN MARKS RD STE 490",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424794",
            "telephone_number": "404-843-6320",
            "fax_number": "404-843-6321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAKIR",
        "first_name": "ASIYA",
        "middle_name": "KHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-25",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "OK",
            "license": "32128",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "GA",
            "license": "83786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.