Individual provider Active NPI

Shahnaz Bari, M.D.

  • Interventional Pain Medicine Physician
  • Augusta, GA
National Provider Identifier
1679540215
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
033521 Issued in GA
Practice address
1367 Interstate Parkway
Augusta, GA 30909-5626
Phone
(706) 863-3135
Fax
(706) 863-3564
NPI assigned
Mar 2, 2006
Last updated
Apr 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 033521 GA
Pain Medicine (Anesthesiology) Physician 207LP2900X 033521 GA
Pain Medicine Physician 208VP0000X 033521 GA
Interventional Pain Medicine Physician 208VP0014X 033521 GA Primary

Addresses

Primary practice location

1367 Interstate Parkway
Augusta, GA 30909-5626

Mailing address

3390 Peachtree Rd NE Ste 1500
Atlanta, GA 30326-2822
Phone (404) 920-4950

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
I20050915001049 GA Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 9537125240 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1388 Wellbrook Necir a
Conyers, GA 30012-3872
Phone (770) 929-9033

Merit-based Incentive Payment System (MIPS)

Final score
83.66 of 100Reported as group
Quality
74.46
Promoting interoperability
99
Improvement activities
40
Cost
71.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
033521GAMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Interventional Spine and Pain Management Center PC Pain Medicine CurrentSince Aug 1, 2015 Accepting new patients
The Interventional Spine and Pain Management Center, PC Interventional Pain Medicine CurrentSince Aug 1, 2015 Accepting new patients
CPM Labs, LLC Current Accepting new patients
Alliance Surgery Center at Augusta, LLC CurrentSince Oct 28, 2017 Accepting new patients
The Nexus Pain Center of Augusta LLC Anesthesiology Past Accepting new patients

Locations

3390 Peachtree Rd NE
Ste 1500
Atlanta, GA 30326
Phone 40492049502501

1367 Interstate Pkwy
Augusta, GA 30909
Phone (706) 863-3135

3870 Medical Park Dr
Ste 110
Austell, GA 30106
Phone (404) 920-4972

812 S Park St
Ste 5A
Carrollton, GA 30117
Phone (770) 834-9050

15 Medical Dr NE
Ste 301
Cartersville, GA 30121
Phone (770) 590-1078

1388 Wellbrook Cir NE
#A
Conyers, GA 30012
Phone (770) 385-7985

5303 Adams St NE
Ste B
Covington, GA 30014
Phone (678) 729-8590

110 Evans Mill Dr
Ste 804
Dallas, GA 30157

3400 Chapel Hill Rd
Ste 101
Douglasville, GA 30135

620 J L White Dr
Ste 140
Jasper, GA 30143
Phone (706) 253-3500

4799 Sugarloaf Pkwy
Ste G100
Lawrenceville, GA 30044

1295 Hembree Rd
Ste A105
Roswell, GA 30076

6920 McGinnis Ferry Rd
Ste 360B
Suwanee, GA 30024

300 Parkbrooke Pl
Ste 390
Woodstock, GA 30189

Interoperability endpoints

  • Direct secure messaging: shahnaz.bari@ispm.eclinicaldirectplus.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1679540215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3390 PEACHTREE RD NE STE 1500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303262822",
            "telephone_number": "404-920-4950",
            "fax_number": "404-920-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1367 INTERSTATE PARKWAY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309095626",
            "telephone_number": "706-863-3135",
            "fax_number": "706-863-3564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARI",
        "first_name": "SHAHNAZ",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-02",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "033521",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "GA",
            "license": "033521",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "GA",
            "license": "033521",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "GA",
            "license": "033521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.