Active NPI
Shankar Kandaswamy, M.D.
- Pulmonary Disease Physician
- Newnan, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 055530
- Practice address
- 775 Poplar Rd
Suite 130
Newnan, GA 30265-8300 - Phone
- (770) 683-6921
- Fax
- (770) 254-6037
- NPI assigned
- Nov 29, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 055530 | GA | Primary |
Addresses
Primary practice location
775 Poplar Rd
Suite 130
Newnan, GA 30265-8300
Mailing address
775 Poplar Rd
Suite 130
Newnan, GA 30265-8300
Phone (770) 683-6921
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000973134O | Medicaid | GA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041116000484 | GA | Practitioner - Critical Care (Intensivists) | 8325015431 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Piedmont Providers LLCPiedmont Specialty Hospital Billing LLC
Practice addresses (Care Compare)
1984 Peachtree Rd NW
Suite 300
Atlanta, GA 30309-5219
Phone (404) 367-3210
745 Poplar Rd
Newnan, GA 30265-1618
Phone (770) 400-1000
775 Poplar Rd
Newnan, GA 30265-8301
Phone (770) 400-7830
Hospital & facility affiliations
- Gentiva
- Piedmont Newnan Hospital, Inc
- Piedmont Hospital, Inc
- Piedmont Fayette Hospital
- Piedmont Columbus Regional Midtown
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Specialty Hospital Billing LLC | Current | Accepting new patients | |
| Piedmont Providers LLC | Current | Accepting new patients | |
| Piedmont Healthcare Inc | Current | Accepting new patients | |
| Hospital of Fulton, Inc. | Past | Accepting new patients | |
| Hospital of Fulton Inc | Past | Accepting new patients | |
| Piedmont Newnan Hospital, Inc. | Past | Accepting new patients | |
| Papp Clinic Laboratory | Past | Accepting new patients |
Locations
2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421
1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210
1984 Peachtree Rd NW
Ste 205
Atlanta, GA 30309
775 Poplar Rd
Ste 130
Newnan, GA 30265
Phone (770) 683-6291
745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785
15 Cavender St
Newnan, GA 30263
Phone (770) 253-6616
1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000
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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Piedmont Newnan Hospital, Inc. | Hospital | Corporate Director | Apr 1, 2021 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- General Acute Care Hospital
- Newnan, GA
- NPI 1134133002
Corporate Director
Organizations & group practices 7
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.
-
- Clinical Medical Laboratory
- Newnan, GA
- NPI 1932353042
-
- General Acute Care Hospital
- Newnan, GA
- NPI 1134133002
-
- Family Medicine Physician
- Clinton, KY
- NPI 1437109923
-
- Rural Health Clinic/Center
- Hickman, KY
- NPI 1245208875
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fayetteville, GA
- NPI 1528027240
Hospital
-
- Community Based Hospice Care Agency
- Newnan, GA
- NPI 1851323364
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522022400000",
"number": "1689657181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "775 POPLAR RD",
"address_2": "SUITE 130",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302658300",
"telephone_number": "770-683-6921",
"fax_number": "770-254-6037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "775 POPLAR RD",
"address_2": "SUITE 130",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302658300",
"telephone_number": "770-683-6921",
"fax_number": "770-254-6037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANDASWAMY",
"first_name": "SHANKAR",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-29",
"last_updated": "2018-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "GA",
"license": "055530",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000973134O",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newnan, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.