NPIMap

Individual provider Active NPI

Shane B Darrah, M.D.

  • Interventional Cardiology Physician
  • Columbus, GA
National Provider Identifier
1679557375
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
046075 Issued in GA
Practice address
2121 Warm Springs Rd
Columbus, GA 31904-7955
Phone
(706) 243-4500
Fax
(706) 243-4503
NPI assigned
Dec 6, 2005
Last updated
Aug 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 046075 GA Primary

Addresses

Primary practice location

2121 Warm Springs Rd
Columbus, GA 31904-7955

Mailing address

2300 Manchester Expy Ste 2001a
Columbus, GA 31904-6802
Phone (706) 320-3126

Other practice location 1

2122 Manchester Expy
Columbus, GA 31904-6878
Phone (706) 320-2773

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
I20040622000194 GA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 0547245888 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Medical College of Georgia School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southeastern Cardiology Associates PCGroup PAC ID 0345272910, 8 clinicians

Practice addresses (Care Compare)

2121 Warm Springs Rd
Columbus, GA 31904-7955
Phone (706) 243-4500

2122 Manchester Expy
Columbus, GA 31904-6878
Phone (706) 320-2773

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.8 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
55.54

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting16
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
046075GAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sec2 Interventional Cardiology CurrentSince Aug 9, 2020 Accepting new patients
St. Francis Physician Practices LLC Current Accepting new patients
Southeastern Cardiology Associates PC Interventional Cardiology CurrentSince Jun 6, 2005 Accepting new patients
Southeastern Anesthesia Group LLC CurrentSince Mar 13, 2023 Accepting new patients
St. Francis Physician Practices LLC CurrentSince Apr 14, 2018 Accepting new patients
St Francis Physician Practices LLC CurrentSince Apr 14, 2018 Accepting new patients
Southeastern Endoscopy Center LLC CurrentSince Dec 28, 2022 Accepting new patients
The Medical Center Inc PastSince Mar 1, 2018 Accepting new patients
Southeastern Gastroenterology Associates, PC PastSince Jun 1, 2022 Accepting new patients
Sebastian O. Hubbuch M.D. Past Accepting new patients
Hughston Hospital, Inc. PastSince Mar 1, 2018 Accepting new patients

Locations

4401 Riverchase Dr
Phenix City, AL 36867
Phone (334) 732-3000

2121 Warm Springs Rd
Columbus, GA 31904
Phone (706) 243-4500

2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128

2200 Hamilton Rd
Ste A
Columbus, GA 31904
Phone (706) 221-6116

2300 Manchester Expy
Ste 2001A
Columbus, GA 31904
Phone (706) 320-3126

2300 Manchester Expy
Ste H104
Columbus, GA 31904
Phone (706) 243-4500

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHDHCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/JCCDCA
  • Direct secure messaging: shane.darrah@sec.gadirect.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Piedmont Columbus Regional NorthsideColumbus, GA, CCN 110200 Hospital Corporate Director
Operational/Managerial Control		 Mar 1, 2018
Mar 1, 2018

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 4

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": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1679557375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 MANCHESTER EXPY STE 2001A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046802",
            "telephone_number": "706-320-3126",
            "fax_number": "706-320-3054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 WARM SPRINGS RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319047955",
            "telephone_number": "706-243-4500",
            "fax_number": "706-243-4503"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2122 Manchester Expy",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319046878",
            "country_code": "US",
            "telephone_number": "706-320-2773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DARRAH",
        "first_name": "SHANE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "GA",
            "license": "046075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.