Organization Active NPI

S4 Smart Family Care LLC

  • Family Medicine Physician
  • Atlanta, GA
National Provider Identifier
1720895923
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
S4 SMART FAMILY CARE LLC
Practice address
2840 Northeast Expy NE Ste 116
Atlanta, GA 30345-4225
Phone
(404) 929-1402
Fax
(404) 929-1406
NPI assigned
Dec 12, 2024
Last updated
Mar 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Authorized official

Name
Shahnawaz Bhimani
Title
Owner
Phone
(404) 201-0125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

2840 Northeast Expy NE Ste 116
Atlanta, GA 30345-4225

Mailing address

2840 Northeast Expy NE Ste 116
Atlanta, GA 30345-4225
Phone (404) 929-1402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250516000588 GA Part B Supplier - Clinic/Group Practice 7113445891 Receives reassigned benefits from 2 practitioners
Practice locations: Atlanta, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2338138S4 Smart Family Care2840 Northeast Expressway NE, Suite 116, Atlanta, GA 30345Certificate of waiverFeb 4, 2028

National Provider Directory

National Provider Directory

Locations

2840 Ne
Ste 116
Atlanta, GA 30345
Phone (404) 201-0125

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1733961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742774400000",
    "number": "1720895923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 NORTHEAST EXPY NE STE 116",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303454225",
            "telephone_number": "404-929-1402",
            "fax_number": "404-929-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 NORTHEAST EXPY NE STE 116",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303454225",
            "telephone_number": "404-929-1402",
            "fax_number": "404-929-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S4 SMART FAMILY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-12",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A",
        "authorized_official_last_name": "BHIMANI",
        "authorized_official_first_name": "SHAHNAWAZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-201-0125"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.