Organization Active NPI

Shikha Shah, MD, LLC

  • Family Medicine Physician
  • Columbus, GA
National Provider Identifier
1457989618
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SHIKHA SHAH, MD, LLC
Doing business as
Prestige Family Medicine
Practice address
6200 Bradley Park Dr
Columbus, GA 31904-3078
Phone
(706) 591-8080
Fax
(888) 905-2571
NPI assigned
Mar 31, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Authorized official

Name
Shikha Shah, MDNPI 1033497318
Title
Owner
Phone
(706) 591-8080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

6200 Bradley Park Dr
Columbus, GA 31904-3078

Mailing address

6200 Bradley Park Dr
Columbus, GA 31904-3078
Phone (706) 591-8080

Other names 1

  • Prestige Family Medicine Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210125001393 GA Part B Supplier - Clinic/Group Practice 8325452832 Receives reassigned benefits from 2 practitioners
Practice locations: Columbus, GA

National Provider Directory

National Provider Directory

Locations

705 17th St
Ste 400
Columbus, GA 31901

6200 Bradley Park Dr
Columbus, GA 31904
Phone (706) 221-2024

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1457989618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 BRADLEY PARK DR",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319043078",
            "telephone_number": "706-591-8080",
            "fax_number": "888-905-2571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 BRADLEY PARK DR",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319043078",
            "telephone_number": "706-591-8080",
            "fax_number": "888-905-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIKHA SHAH, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-31",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SHIKHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-591-8080",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prestige Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.