Individual provider Active NPI

Shehnaz Makhani, MD

  • Family Medicine Physician
  • Locust Grove, GA
National Provider Identifier
1720088511
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
043694 Issued in GA
Practice address
3758 Highway 42
Locust Grove, GA 30248-3653
Phone
(678) 561-9430
Fax
(770) 914-1070
NPI assigned
Jul 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 043694 GA Primary

Addresses

Primary practice location

3758 Highway 42
Locust Grove, GA 30248-3653

Mailing address

3758 Highway 42
Locust Grove, GA 30248-3653
Phone (678) 561-9430

Other practice location 1

1058 Bear Creek Blvd
Hampton, GA 30228-1849
Phone (770) 707-0808

Other identifiers 1

IdentifierTypeStateIssuer
00765872AMedicaidGA

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
I20100927001096 GA Practitioner - Family Practice 2264558204 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aylo Health, LLCGroup PAC ID 8022901925, 112 clinicians

Practice addresses (Care Compare)

1058 Bear Creek Blvd
Hampton, GA 30228-1849
Phone (770) 914-0116

1100 Hospital Dr
Stockbridge, GA 30281-6381
Phone (770) 914-0116

1108 Hospital Dr
Stockbridge, GA 30281-6381
Phone (770) 914-0116

145 Eagles Walk
Suite a
Stockbridge, GA 30281-7340
Phone (770) 914-0116

3290 Sixes Rd
Canton, GA 30114-9102
Phone (770) 914-0116

3333 Riverwood Pkwy SE
Suite 250
Atlanta, GA 30339-3304
Phone (770) 914-0116

3758 Hwy 42
Locust Grove, GA 30248-3653
Phone (770) 914-0116

3758 Hwy 42 S
Locust Grove, GA 30248-3653
Phone (770) 914-0116

604 Lovejoy LN
Woodstock, GA 30189-3634
Phone (770) 914-0116

6613 Hickory Flat Hwy
Canton, GA 30115-7237
Phone (770) 914-0116

8111 Ball Ground Hwy
Ball Ground, GA 30107-3936
Phone (770) 914-0116

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aylo Health, LLC CurrentSince Feb 10, 2014 Accepting new patients
Magnolia Medical Clinic, P.C. Family Medicine CurrentSince Nov 7, 2013 Accepting new patients
Aylo Health, LLC Family Medicine CurrentSince Feb 10, 2014 Accepting new patients
Aylo Health, LLC Family Medicine Past Accepting new patients
Aylo Health, LLC Past Accepting new patients
Aylo Health, LLC Family Medicine Past Accepting new patients

Locations

3333 Riverwood Pkwy SE
Ste 250
Atlanta, GA 30339
Phone (770) 914-0016

6613 Hickory Flat Hwy
Canton, GA 30115
Phone (770) 268-4357

3290 Sixes Rd
Canton, GA 30114
Phone (678) 374-7514

1101 Nortec Dr SE
Conyers, GA 30013
Phone (678) 374-7514

211 Fairview Rd
Ellenwood, GA 30294
Phone (678) 289-6747

1058 Bear Creek Blvd
Hampton, GA 30228
Phone (770) 707-0808

1502 W 3rd St
Ste A
Jackson, GA 30233
Phone (678) 774-0430

3758 Highway 42 S
Locust Grove, GA 30248
Phone (678) 561-9430

65 Old Jackson Rd
McDonough, GA 30252
Phone (678) 490-0080

2330 Patrick Henry Pkwy
Ste 200
McDonough, GA 30253

50 Kelly Rd
Ste 200
McDonough, GA 30253
Phone (770) 957-1887

1235 Indian Trail Rd
Ste 200
Norcross, GA 30093
Phone (770) 931-1333

1240 Eagles Landing Pkwy
Ste 110
Stockbridge, GA 30281
Phone (770) 389-3855

145 Eagles Walk
Ste A
Stockbridge, GA 30281
Phone (770) 389-3855

1100 Hospital Dr
Stockbridge, GA 30281
Phone (678) 432-6161

Interoperability endpoints

  • Direct secure messaging: shehnaz.makhani@elfp.eclinicaldirectplus.com

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.

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": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1720088511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3758 HIGHWAY 42",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302483653",
            "telephone_number": "678-561-9430",
            "fax_number": "770-914-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3758 HIGHWAY 42",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302483653",
            "telephone_number": "678-561-9430",
            "fax_number": "770-914-1070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1058 Bear Creek Blvd",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "GA",
            "postal_code": "302281849",
            "country_code": "US",
            "telephone_number": "770-707-0808",
            "fax_number": "770-707-1580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAKHANI",
        "first_name": "SHEHNAZ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "043694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00765872A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Locust Grove, GA

Sources for this page

Verify at the official NPI Registry.