Individual provider Active NPI

Steven Lewis Shore, MD

  • Pediatric Infectious Diseases Physician
  • Atlanta, GA
National Provider Identifier
1699706184
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Infectious Diseases PhysicianTaxonomy code 2080P0208X
License
015611 Issued in GA
Practice address
1200 Lake Hearn Dr NE Ste 275
Atlanta, GA 30319-1411
Phone
(470) 993-6287
Fax
(470) 961-7300
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Infectious Diseases Physician 2080P0208X 015611 GA Primary
Pediatrics Physician 208000000X 015611 GA

Addresses

Primary practice location

1200 Lake Hearn Dr NE Ste 275
Atlanta, GA 30319-1411

Mailing address

1200 Lake Hearn Dr
Ste 275
Atlanta, GA 30319
Phone (470) 993-6287

Other identifiers 1

IdentifierTypeStateIssuer
000147804BMedicaidGA

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
I20150410000835 GA Practitioner - Infectious DiseasePractitioner - Pediatric Medicine 1658699236 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15611GAMDPharmacist
015611GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Egleston Pediatric Group Pediatrics Current Accepting new patients
Pediatric Infectious Disease Associates Pediatric Infectious Diseases Current Accepting new patients
Choa Multispecialty, LLC Pediatrics CurrentSince Jan 18, 2015 Accepting new patients
Choa Hospital Based, LLC Pediatrics Current Accepting new patients
Sandy Springs Pediatrics and Adolescent Medicine Pediatrics Past Accepting new patients
Focus Pediatrics, LLC Pediatrics PastSince Jun 30, 2024 Accepting new patients

Locations

1405 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 785-1112

1584 Tullie Cir NE
Atlanta, GA 30329
Phone (404) 785-5413

6100 Lake Forrest Dr
Ste 100
Sandy Springs, GA 30328
Phone (404) 252-4611

1200 Lake Hearn Dr NE
Ste 275
Sandy Springs, GA 30319
Phone (470) 993-6287

993 Johnson Ferry Rd
Ste 370
Sandy Springs, GA 30342
Phone (404) 252-4611

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1749
  • Direct secure messaging: sshore2197@choa.gadirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1699706184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 LAKE HEARN DR",
            "address_2": "STE 275",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30319",
            "telephone_number": "470-993-6287",
            "fax_number": "470-961-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 LAKE HEARN DR NE STE 275",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303191411",
            "telephone_number": "470-993-6287",
            "fax_number": "470-961-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORE",
        "first_name": "STEVEN",
        "middle_name": "LEWIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "GA",
            "license": "015611",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "015611",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000147804B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.