Individual provider Active NPI

Shalini Chowdavarapu, MD

  • Family Medicine Physician
  • Sharpsburg, GA
National Provider Identifier
1609434281
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
91845 Issued in GA
Practice address
105 Fischer Marketplace LN # 100
Sharpsburg, GA 30277-3680
Phone
(678) 633-3260
NPI assigned
May 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 91845 GA Primary
Family Medicine Physician 207Q00000X R-11431 IA

Addresses

Primary practice location

105 Fischer Marketplace LN # 100
Sharpsburg, GA 30277-3680

Mailing address

NE Ia Family Practice Center
2055 Kimball Ave. Ste. 101
Waterloo, IA 50702
Phone (319) 272-2112

Other practice location 1

NE IA Family Practice Center
2055 Kimball Ave. Ste. 101
Waterloo, IA 50702-5070
Phone (319) 272-2112

Other practice location 2

2959 Sharpsburg McCullum Rd Ste A6
Newnan, GA 30265-2297
Phone (678) 633-3260

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
I20220817001943 GA Practitioner - Family Practice 6103154448 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Piedmont Medical Care CorporationGroup PAC ID 6002802220, 368 clinicians

Practice addresses (Care Compare)

2959 Sharpsburg McCullum Rd
Newnan, GA 30265-2297
Phone (770) 502-2040

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Columbus, GA, CCN 117306
  • Centerwell Home Health Home health agency, Peachtree City, GA, CCN 117137
  • Central Home Health Care, an Amedisys Company Home health agency, Douglasville, GA, CCN 117050
  • Piedmont Hospital, Inc Hospital, Atlanta, GA, CCN 110083
  • Piedmont Newnan Hospital, Inc Hospital, Newnan, GA, CCN 110229
  • Piedmont Fayette Hospital Hospital, Fayetteville, GA, CCN 110215

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Medical Care Corporation Family Medicine CurrentSince Sep 19, 2022 Accepting new patients
Piedmont Providers LLC Past Accepting new patients

Locations

105 Collier Rd NW
Ste 5020
Atlanta, GA 30309
Phone (404) 350-3860

2959 Sharpsburg McCullum Rd
#A6
Newnan, GA 30265

2959 Sharpsburg McCullum Rd
Ste A6
Newnan, GA 30265
Phone (678) 633-3260

2959 Sharpsburg McCullum Rd
Newnan, GA 30265
Phone (770) 502-2000

105 Fischer Marketplace Ln
Ste 100
Sharpsburg, GA 30277
Phone (678) 633-3260

551 N Cherokee Rd
Social Circle, GA 30025
Phone (678) 342-6000

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 6

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": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1609434281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NE IA FAMILY PRACTICE CENTER",
            "address_2": "2055 KIMBALL AVE. STE. 101",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "50702",
            "telephone_number": "319-272-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 FISCHER MARKETPLACE LN # 100",
            "city": "SHARPSBURG",
            "state": "GA",
            "postal_code": "302773680",
            "telephone_number": "678-633-3260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "NE IA Family Practice Center",
            "address_2": "2055 Kimball Ave. Ste. 101",
            "address_purpose": "LOCATION",
            "city": "Waterloo",
            "state": "IA",
            "postal_code": "507025070",
            "country_code": "US",
            "telephone_number": "319-272-2112",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2959 Sharpsburg McCullum Rd Ste A6",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "302652297",
            "country_code": "US",
            "telephone_number": "678-633-3260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOWDAVARAPU",
        "first_name": "SHALINI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-30",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "91845",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "R-11431",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sharpsburg, GA

Sources for this page

Verify at the official NPI Registry.