Individual provider Active NPI

Jesse Shriki, D.O

  • Emergency Medicine Physician
  • Atlanta, GA
National Provider Identifier
1689864456
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4707 Issued in AZ
Practice address
95 Collier Rd NW Ste 5015
Atlanta, GA 30309-1721
Phone
(404) 605-6517
NPI assigned
Jul 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Critical Care Physician 2086S0102X 100519 GA
Emergency Medicine Physician 207P00000X 4707 AZ Primary

Addresses

Primary practice location

95 Collier Rd NW Ste 5015
Atlanta, GA 30309-1721

Mailing address

15333 N Pima Rd Ste 305
Scottsdale, AZ 85260-2717
Phone (602) 703-7813

Other practice location 1

1955 W Frye Rd
Chandler, AZ 85224-6282
Phone (480) 728-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, GA, TX, NV4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20080715000757 AZ Practitioner - Emergency Medicine 1052484672 Reassigns benefits to 5 organizations
I20241029002652 GA Practitioner - Emergency Medicine 1052484672 Reassigns benefits to 1 organization
I20241226000514 TX Practitioner - Emergency MedicinePractitioner - Critical Care (Intensivists) 1052484672 Reassigns benefits to 1 organization
I20250116001333 NV Practitioner - Emergency Medicine 1052484672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Arizona College of Osteopathic Medicine Mid Western University, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Cardiology of Atlanta, LLCGroup PAC ID 0345321691, 478 clinicians
Immersive Medical Holdings PLLCGroup PAC ID 2062947591, 2 clinicians

Practice addresses (Care Compare)

1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone (770) 918-3000

1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone (404) 605-5000

2359 Cliffwood Dr
Henderson, NV 89074-5874
Phone (702) 235-9541

732 S 6TH St
Suite R
Las Vegas, NV 89101-6948

Hospital & facility affiliations

  • Piedmont Hospital, Inc Hospital, Atlanta, GA, CCN 110083

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue27
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4707AZMDVeterinarian

Practice roles

OrganizationSpecialtyStatusNew patients
Tec Emergency Physicians of Arizona, LLC CurrentSince Apr 23, 2021 Accepting new patients
District Medical Group, Inc CurrentSince Nov 1, 2014 Accepting new patients
Emergency Group of Arizona Professional Corporation Emergency Medicine CurrentSince Apr 27, 2022 Accepting new patients
Arizona Acute Medical Services 1 PC CurrentSince Dec 1, 2021 Accepting new patients
District Medical Group, Inc Current Accepting new patients
District Medical Group, Inc Emergency Medicine CurrentSince Nov 1, 2014 Accepting new patients
Piedmont Cardiology of Atlanta, LLC CurrentSince Sep 1, 2024 Accepting new patients
Immersive Medical Holdings PLLC Emergency Medicine CurrentSince Sep 23, 2024 Accepting new patients
MD DME, LLC Past Accepting new patients
Mountain Vista Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Arizona Post-Acute Medical Services 1 PC Past Accepting new patients
Valley Emergency Physicians Inc Emergency Medicine Past Accepting new patients

Locations

1955 W Frye Rd
Chandler, AZ 85224
Phone (480) 507-2961

7171 S 51st Ave
Laveen, AZ 85339
Phone (623) 584-5100

1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

5102 W Campbell Ave
Phoenix, AZ 85031
Phone (623) 848-5000

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

1800 E Van Buren St
Phoenix, AZ 85006
Phone (602) 251-8100

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

1419 W Hunt Hwy
San Tan Vly, AZ 85143
Phone (480) 245-4300

15333 N Pima Rd
Ste 305
Scottsdale, AZ 85260
Phone (480) 225-3236

5125 S Rural Rd
Tempe, AZ 85282
Phone (480) 306-8780

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

95 Collier Rd NW
Ste 5015
Atlanta, GA 30309
Phone (404) 605-5699

1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222

2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

732 S 6th St
Ste R
Las Vegas, NV 89101
Phone (702) 482-8580

21222 Gathering Oak
Ste 103
San Antonio, TX 78260
Phone (469) 248-0023

Interoperability endpoints

  • Direct secure messaging: jshriki18093@direct.valleywisehealth.org

Organizations & group practices 12

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 1

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": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1689864456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15333 N PIMA RD STE 305",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602717",
            "telephone_number": "602-703-7813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 COLLIER RD NW STE 5015",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091721",
            "telephone_number": "404-605-6517"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1955 W Frye Rd",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852246282",
            "country_code": "US",
            "telephone_number": "480-728-3000",
            "fax_number": "602-230-6461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHRIKI",
        "first_name": "JESSE",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-27",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "GA",
            "license": "100519",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "4707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.