Individual provider Active NPI

Shrinath Kalaseshwar Nadig, MD

  • Otolaryngology Physician
  • Clarkesville, GA
National Provider Identifier
1720009657
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
61302 Issued in GA
Practice address
116 Clarkesville PLZ
Clarkesville, GA 30523-6216
Phone
(706) 680-6526
NPI assigned
Jul 23, 2006
Last updated
Dec 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 61302 GA Primary

Addresses

Primary practice location

116 Clarkesville PLZ
Clarkesville, GA 30523-6216

Mailing address

3248 Clarks Bridge Rd
Gainesville, GA 30506-3722
Phone (503) 334-1856

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
I20110126000656 GA Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 6608872551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

116 Clarkesville PLZ
Clarkesville, GA 30523-6216
Phone (706) 680-6526

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision51
Removal of tissue1-10
Removal of skin lesions491
Skin biopsy78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61302GAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Health LLC Otolaryngology CurrentSince Jan 1, 2024 Accepting new patients

Locations

116 Clarkesville Plz
Clarkesville, GA 30523
Phone (503) 334-1856

5330 Highway 115
Clarkesville, GA 30523
Phone (706) 754-5991

Interoperability endpoints

  • Direct secure messaging: snadig4@blueridgehealth.emadirect.md

Organizations & group practices 1

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.

Hospital & facility affiliations 3

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": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1720009657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3248 CLARKS BRIDGE RD",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305063722",
            "telephone_number": "503-334-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 CLARKESVILLE PLZ",
            "city": "CLARKESVILLE",
            "state": "GA",
            "postal_code": "305236216",
            "telephone_number": "706-680-6526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADIG",
        "first_name": "SHRINATH",
        "middle_name": "KALASESHWAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "61302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkesville, GA

Sources for this page

Verify at the official NPI Registry.