Active NPI
Gaurang Naginlal Shah, M.D.
- Gastroenterology Physician
- Anderson, SC
National Provider Identifier
1730143538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- ME 38507
- Practice address
- 2000 E Greenville St Ste 2900
Anderson, SC 29621-1722 - Phone
- (864) 512-5849
- Fax
- (864) 512-7575
- NPI assigned
- Apr 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ME 38507 | FL | Primary |
Addresses
Primary practice location
2000 E Greenville St Ste 2900
Anderson, SC 29621-1722
Mailing address
PO Box 100174
Columbia, SC 29202-3174
Phone (864) 512-5849
Other practice location 1
4123 University Blvd S
Suite A
Jacksonville, FL 32216-4371
Phone (904) 737-2300
Other practice location 2
1350 Walton Way
Augusta, GA 30901
Phone (706) 774-5795
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 066207100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 38507 | FL | MD | Gastroenterology Physician |
Interoperability endpoints
- gshah51368@direct.anmedhealth.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669161600000",
"number": "1730143538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100174",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292023174",
"telephone_number": "864-512-5849",
"fax_number": "864-512-7575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 E GREENVILLE ST STE 2900",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296211722",
"telephone_number": "864-512-5849",
"fax_number": "864-512-7575"
}
],
"practiceLocations": [
{
"address_1": "4123 University Blvd S",
"address_2": "Suite A",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322164371",
"country_code": "US",
"telephone_number": "904-737-2300",
"fax_number": "904-737-2441",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1350 Walton Way",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "GA",
"postal_code": "30901",
"country_code": "US",
"telephone_number": "706-774-5795",
"fax_number": "706-774-5792",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAH",
"first_name": "GAURANG",
"middle_name": "NAGINLAL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-17",
"last_updated": "2022-11-23",
"certification_date": "2022-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "ME 38507",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "066207100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Anderson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.