Individual provider Active NPI

Christopher Shaw, MD

  • Gastroenterology Physician
  • Atlanta, GA
National Provider Identifier
1750366332
Registry record updated Jan 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
28649 Issued in GA
Practice address
5671 Peachtree Dunwoody Rd NE
Suite 600
Atlanta, GA 30342-5000
Phone
(404) 257-9000
Fax
(404) 847-9792
NPI assigned
Dec 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 28649 GA Primary

Addresses

Primary practice location

5671 Peachtree Dunwoody Rd NE
Suite 600
Atlanta, GA 30342-5000

Mailing address

550 Peachtree St NE
Suite 1620
Atlanta, GA 30308-2209
Phone (404) 885-7701

Other identifiers 1

IdentifierTypeStateIssuer
00339699AMedicaidGA

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
I20101206000821 GA Practitioner - GastroenterologyPractitioner - Internal Medicine 2769679554 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Virginia Commonwealth Univ School of Dentistry, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapeutic Gi Associates LLCGroup PAC ID 0244631117, 2 clinicians
City of Hope Medical Group of Georgia LLCGroup PAC ID 4880841212, 137 clinicians

Practice addresses (Care Compare)

3925 Peachtree Rd NE
Suite 200
Brookhaven, GA 30319-2982
Phone (770) 400-9186

600 Celebrate Life Pkwy
Newnan, GA 30265-8001
Phone (770) 400-6080

Hospital & facility affiliations

  • Southeastern Regional Medical Center, Inc Hospital, Newnan, GA, CCN 110233
  • Piedmont Newnan Hospital, Inc Hospital, Newnan, GA, CCN 110229

Merit-based Incentive Payment System (MIPS)

Final score
79.74 of 100Reported as group
Quality
63.81
Promoting interoperability
100
Improvement activities
40
Cost
57.71

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy51
Upper gastrointestinal (GI) endoscopy for acid reflux109

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28649GAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City of Hope Medical Group of Georgia LLC CurrentSince Jun 18, 2021 Accepting new patients
Therapeutic Gi Associates, LLC Gastroenterology CurrentSince Nov 6, 2023 Accepting new patients

Locations

550 Peachtree St NE
Ste 1600
Atlanta, GA 30308
Phone (404) 881-1094

550 Peachtree St NE
Ste 1620
Atlanta, GA 30308
Phone (404) 881-1094

1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222

550 Peachtree St NE
Ste 1750
Atlanta, GA 30308
Phone (404) 881-8319

2020 Peachtree Rd NW
Atlanta, GA 30309
Phone (404) 350-7333

3925 Peachtree Rd NE
Ste 200
Brookhaven, GA 30319
Phone (404) 231-4231

3869 Highway 81
#B
Loganville, GA 30052
Phone (770) 266-6252

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334

775 Poplar Rd
Ste 220
Newnan, GA 30265

745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785

62742 Collections Ctr Dr
Chicago, IL 60693

Interoperability endpoints

  • Direct secure messaging: cshaw145430@cityofhope.direct-ci.com

Organizations & group practices 2

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 2

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": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294963200000",
    "number": "1750366332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 PEACHTREE ST NE",
            "address_2": "SUITE 1620",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082209",
            "telephone_number": "404-885-7701",
            "fax_number": "404-885-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5671 PEACHTREE DUNWOODY RD NE",
            "address_2": "SUITE 600",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303425000",
            "telephone_number": "404-257-9000",
            "fax_number": "404-847-9792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2011-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "28649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00339699A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.