Individual provider Active NPI

Shashank Vijay Gandhi, MD

  • Neurological Surgery Physician
  • Lawrenceville, GA
National Provider Identifier
1629310883
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
101231 Issued in GA
Practice address
2200 Medical Center Blvd Ste 350
Lawrenceville, GA 30046-7768
Phone
(678) 312-2700
Fax
(678) 312-2730
NPI assigned
Mar 26, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 101231 GA Primary
Neurological Surgery Physician 207T00000X T1707 TX

Addresses

Primary practice location

2200 Medical Center Blvd Ste 350
Lawrenceville, GA 30046-7768

Mailing address

2200 Medical Center Blvd Ste 350
Lawrenceville, GA 30046-7768
Phone (678) 312-2700

Other identifiers 2

IdentifierTypeStateIssuer
101231OtherGAGEORGIA COMPOSITE MEDICAL BOARD
T1707OtherTXTMB

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
I20241015000193 GA Practitioner - Neurosurgery 1850636168 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101231GAMDNeurological Surgery Physician
T1707TXMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Neurosurgery Associates LLC Neurological Surgery CurrentSince Sep 17, 2024 Accepting new patients

Locations

631 Professional Dr
Ste 360
Lawrenceville, GA 30046
Phone (678) 312-3290

2200 Medical Center Blvd
Ste 350
Lawrenceville, GA 30046

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

Interoperability endpoints

  • Direct secure messaging: sgandhi222241@direct.valleywisehealth.org
  • Direct secure messaging: sgandhi1793949@direct.texashealth.org

Organizations & group practices 1

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 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Florida College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Neurosurgery Associates LLC 14 clinicians
Physiotherapy Associates Inc 1,432 clinicians

Practice addresses (Care Compare)

1000 Medical Ctr Blvd
Lawrenceville, GA 30046-7694
Phone (678) 312-3294

3605 Braselton Hwy
Dacula, GA 30019-4666
Phone (770) 904-0772

3890 Johns Creek Pkwy
Suite 240
Suwanee, GA 30024-1286
Phone (678) 312-2700

631 Professional Dr
Suite 360
Lawrenceville, GA 30046-3370
Phone (404) 851-8000

Hospital & facility affiliations

  • Accentcare Home Health of Northeast Georgia Home health agency, Buford, GA, CCN 117139
  • Northside Hospital Gwinnett Hospital, Lawrenceville, GA, CCN 110087
  • Northside Hospital Duluth Hospital, Duluth, GA, CCN 110252
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161
  • Northside Hospital Forsyth Hospital, Cumming, GA, CCN 110005

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion92
Laminectomy or laminotomy (partial removal of spine bones)16

NPI Registry JSON

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1629310883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 MEDICAL CENTER BLVD STE 350",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300467768",
            "telephone_number": "678-312-2700",
            "fax_number": "678-312-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 MEDICAL CENTER BLVD STE 350",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300467768",
            "telephone_number": "678-312-2700",
            "fax_number": "678-312-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDHI",
        "first_name": "SHASHANK",
        "middle_name": "VIJAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-26",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "GA",
            "license": "101231",
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "T1707",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA COMPOSITE MEDICAL BOARD",
            "identifier": "101231",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TMB",
            "identifier": "T1707",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.