NPIMap

Individual provider Active NPI

Shweta Desai, M.D.

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Roswell, GA
National Provider Identifier
1619310984
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
85393 Issued in GA
Practice address
11660 Alpharetta Hwy Ste 710
Roswell, GA 30076-4916
Phone
(678) 235-9168
NPI assigned
Apr 16, 2013
Last updated
Sep 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 85393 GA
Student in an Organized Health Care Education/Training Program 390200000X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X 85393 GA Primary

Addresses

Primary practice location

11660 Alpharetta Hwy Ste 710
Roswell, GA 30076-4916

Mailing address

PO Box 1914
Columbus, GA 31902-1914

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200429002037 GA Practitioner - Obstetrics/Gynecology 7618307919 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gwinnett Physician Group, LLCGroup PAC ID 9133211139, 112 clinicians

Practice addresses (Care Compare)

595 Hurricane Shoals Rd NW
Suite 301
Lawrenceville, GA 30046-8769
Phone (470) 325-1280

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Gynecology PC Urogynecology and Reconstructive Pelvic Surgery Current Accepting new patients
Gwinnett Physician Group, LLC CurrentSince Apr 14, 2025 Accepting new patients
Advanced Gynecology PC Urogynecology and Reconstructive Pelvic Surgery CurrentSince Apr 24, 2020 Accepting new patients
Advanced Gynecology PC Urogynecology and Reconstructive Pelvic Surgery CurrentSince Apr 24, 2020 Accepting new patients
The Southeast Permanente Medical Group CurrentSince Jan 30, 2024 Accepting new patients
Baylor College of Medicine Past Accepting new patients

Locations

3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000

2400 Mount Zion Pkwy
Jonesboro, GA 30236
Phone (770) 603-3645

595 Hurricane Shoals Rd NW
Ste 3
Lawrenceville, GA 30046

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

595 Hurricane Shoals Rd NW
Ste 301
Lawrenceville, GA 30046
Phone (470) 325-1280

11660 Alpharetta Hwy
Ste 710
Roswell, GA 30076
Phone (404) 495-5394

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

1357 Oconee Connector
Watkinsville, GA 30677
Phone (248) 988-3550

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1366070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1619310984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1914",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319021914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11660 ALPHARETTA HWY STE 710",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764916",
            "telephone_number": "678-235-9168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "SHWETA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-16",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "GA",
            "license": "85393",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "GA",
            "license": "85393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

Verify at the official NPI Registry.