Shashi Madan, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

037279 Issued in GA

Practice address

135 N Oak St
Jackson, GA 30233

Phone

(770) 775-7675

Fax

(770) 775-7817

NPI assigned

Nov 7, 2006

Last updated

Oct 22, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Internal Medicine

Education

Georgetown University School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Peachtree City, GA, CCN 117137
• Enhabit Home Health Home health agency, Columbus, GA, CCN 117306
• Amedisys Home Health of Covington Home health agency, Covington, GA, CCN 117065
• Wellstar Spalding Medical Center Hospital, Griffin, GA, CCN 110031

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Shashi Madan MD PC

  • Health Maintenance Organization
  • Jackson, GA
  • NPI 1801117007
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amedisys Georgia, L.L.C.

  dba Amedisys Home Health of Covington

  • Home Health Agency
  • Covington, GA
  • NPI 1134177835
  Care Compare affiliation
• Caresouth HHA Holdings of Columbus, LLC

  dba Enhabit Home Health

  • Home Health Agency
  • Columbus, GA
  • NPI 1750369245
  Care Compare affiliation
• CHMG of Griffin, LLC

  dba Centerwell Home Health

  • Home Health Agency
  • Peachtree City, GA
  • NPI 1730119538
  Care Compare affiliation
• Wellstar Spalding Regional Hospital, Inc

  dba WellStar Spalding Regional Hospital

  • General Acute Care Hospital
  • Griffin, GA
  • NPI 1972535318
  Care Compare affiliation

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287705600000",
    "number": "1740359629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 N OAK ST",
            "city": "JACKSON",
            "state": "GA",
            "postal_code": "30233",
            "telephone_number": "770-775-7675",
            "fax_number": "770-775-7817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 N OAK ST",
            "city": "JACKSON",
            "state": "GA",
            "postal_code": "30233",
            "telephone_number": "770-775-7675",
            "fax_number": "770-775-7817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADAN",
        "first_name": "SHASHI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2010-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "037279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00568554B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110245216",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Derrell Levohn Leggett, M.D.
• Gary Ronald Lester, LCSW
• Auriel Renae Lewis, NP
• Henrietta Lindsay, LCSW
• Michele A Lucien, PTA
• Maldonado & Moreno, PC
• Sheila Mallory, FNP-C
• Shanita Ann McCall
• Jennifer McElhannon, OCCUPATIONAL THERAPI
• McIntosh Trail Community Service Board

• Internal Medicine Physician in Jackson, GA
• Providers in Jackson, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.