Active NPI
Asiya Khan Shakir, M.D.
- Pediatric Gastroenterology Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- 83786
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83786 | GA | MD | Pediatric Gastroenterology Physician |
| 32128 | OK | MD | Pediatric Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aga, LLC | Current | 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.
-
- Gastroenterology Physician
- Atlanta, GA
- NPI 1124064118
-
- Pediatric Hematology & Oncology Physician
- Atlanta, GA
- NPI 1184779332
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.