Individual provider Active NPI

Banafsheh Bonnie Shoai, MD

  • Obstetrics & Gynecology Physician
  • Decatur, GA
National Provider Identifier
1497383871
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
100615 Issued in GA
Practice address
315 Winn Way
Decatur, GA 30030-2111
Phone
(404) 299-9724
NPI assigned
Mar 31, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 100615 GA Primary

Addresses

Primary practice location

315 Winn Way
Decatur, GA 30030-2111

Mailing address

530 Piedmont Ave NE Apt 313
Atlanta, GA 30308-4406
Phone (404) 326-1888

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
I20241021001013 GA Practitioner - Obstetrics/Gynecology 5991237521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Morehouse School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlanta Gynecology and Obstetrics P.C.Group PAC ID 5597748830, 5 clinicians

Practice addresses (Care Compare)

315 Winn Way
Decatur, GA 30030-2111
Phone (404) 299-9724

Hospital & facility affiliations

  • Emory Decatur Hospital Hospital, Decatur, GA, CCN 110076
  • Northside Hospital Gwinnett Hospital, Lawrenceville, GA, CCN 110087

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
100615GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Gynecology & Obstetrics P.C. Obstetrics & Gynecology CurrentSince Sep 10, 2024 Accepting new patients
Dekalb Medical Center, Inc. Past Accepting new patients
Dekalb Medical Psych Unit Past Accepting new patients

Locations

315 Winn Way
Decatur, GA 30030
Phone (404) 299-9724

449 Pleasant Hill Rd NW
Ste 200
Lilburn, GA 30047
Phone (404) 299-9724

Interoperability endpoints

  • Direct secure messaging: b.shoai@ago.directbygreenway.com

Organizations & group practices 3

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 2

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": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1497383871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 PIEDMONT AVE NE APT 313",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303084406",
            "telephone_number": "404-326-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 WINN WAY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302111",
            "telephone_number": "404-299-9724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOAI",
        "first_name": "BANAFSHEH",
        "middle_name": "BONNIE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-31",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "100615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.