Narayan Sesu Shetty, MD FAAP

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

20816 Issued in GA

Practice address

716 Hospital Rd
Commerce, GA 30529

Phone

(706) 335-2108

Fax

(706) 335-0689

NPI assigned

Jun 29, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mr. N S Shetty Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1609804434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 HOSPITAL RD",
            "city": "COMMERCE",
            "state": "GA",
            "postal_code": "30529",
            "telephone_number": "706-335-2108",
            "fax_number": "706-335-0689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 HOSPITAL RD",
            "city": "COMMERCE",
            "state": "GA",
            "postal_code": "30529",
            "telephone_number": "706-335-2108",
            "fax_number": "706-335-0689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHETTY",
        "first_name": "NARAYAN",
        "middle_name": "SESU",
        "name_prefix": "Mr.",
        "credential": "MD  FAAP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "20816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00181794A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "N",
            "last_name": "SHETTY",
            "middle_name": "S",
            "prefix": "MR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Samuel K Thomason DMD PC
• Senior PT Solutions, LLC
• Paul Montford Sergent, MD
• Sharpco Inc (u save it pharmacy commerce LTC)
• Sharpco Inc (U Save It Pharmacy Commerce)
• Shining Star Therapy Services, LLC
• Carolyn M Stephenson, RPH
• Shelcy Andrea Stevens, ACUTE CARE NP
• Caitlin Strickland
• Adolfo Randolph Suarez, M.D.

• Pediatrics Physician in Commerce, GA
• Providers in Commerce, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.