Active NPI
Zouheir A Shama Sr., M.D
- Surgery Physician
- Atlanta, GA
National Provider Identifier
1568615193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 14720
- Practice address
- 2536 Cosmos Drive N.E.
Atlanta, GA 30345 - Phone
- (404) 636-0471
- Fax
- (404) 636-0471
- NPI assigned
- Oct 28, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 14720 | GA | Primary |
Addresses
Primary practice location
2536 Cosmos Drive N.E.
Atlanta, GA 30345
Mailing address
2536 Cosmos Drive N.E.
Atlanta, GA 30345
Phone (404) 636-0471
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00085599H | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225152000000",
"number": "1568615193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2536 COSMOS DRIVE N.E.",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30345",
"telephone_number": "404-636-0471",
"fax_number": "404-636-0471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2536 COSMOS DRIVE N.E.",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30345",
"telephone_number": "404-636-0471",
"fax_number": "404-636-0471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAMA",
"first_name": "ZOUHEIR",
"middle_name": "A",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-28",
"last_updated": "2008-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "GA",
"license": "14720",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00085599H",
"state": "GA"
}
],
"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 Oct 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.