Shiva Eidi, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN295702 Issued in GA

Practice address

5755 N Point Pkwy Ste 34
Alpharetta, GA 30022-1144

Phone

(678) 240-0000

NPI assigned

Feb 2, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Buford Care Inc

  • Internal Medicine Physician
  • Buford, GA
  • NPI 1154504751
  NPD (past)

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

{
    "created_epoch": "1706832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1487417465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 WINFORD PL",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300978447",
            "telephone_number": "678-430-2529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5755 N POINT PKWY STE 34",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300221144",
            "telephone_number": "678-240-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2721 Buford Hwy",
            "address_purpose": "LOCATION",
            "city": "Buford",
            "state": "GA",
            "postal_code": "305183507",
            "country_code": "US",
            "telephone_number": "770-945-4800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EIDI",
        "first_name": "SHIVA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-02",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN295702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyla Bih Egbe
• Eduardo E Egea, M.D.
• Egleston Affiliated Services
• Ehi Pharmacy Solutions, LLC.
• Shima Eidi, LCSW
• Alan David Einstein, D.O.
• Ekberg Enterprises, Inc.
• Katherina I Ekeji, M.D.
• Desiree Elablaoui, CNM
• Emilia Elangwe, PHARMD

• Nurse Practitioner in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.