Individual provider Active NPI

Shashikant A Daya, MD

  • Family Medicine Physician
  • East Point, GA
National Provider Identifier
1760512016
Registry record updated Oct 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
037520 Issued in GA
Practice address
3305 Bobby Brown Pkwy
East Point, GA 30344-5012
Phone
(404) 806-8181
Fax
(770) 456-5469
NPI assigned
Mar 6, 2007
Last updated
Oct 19, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2014

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

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 037520 GA
Radiology Clinic/Center 261QR0200X 037520 GA
Family Medicine Physician 207Q00000X GA037520 GA
Family Medicine Physician 207Q00000X 037520 GA Primary
Adult Medicine Physician 207QA0505X 037520 GA
Geriatric Medicine (Family Medicine) Physician 207QG0300X 037520 GA
Nuclear Medicine Physician 207U00000X GA037520 GA
Nuclear Cardiology Physician 207UN0901X GA037520 GA
Nuclear Cardiology Physician 207UN0901X 037520 GA
Nuclear Imaging & Therapy Physician 207UN0902X GA037520 GA
Nuclear Imaging & Therapy Physician 207UN0902X 037520 GA
In Vivo & In Vitro Nuclear Medicine Physician 207UN0903X GA037520 GA
Occupational Medicine Physician 2083X0100X 037520 GA
Nuclear Radiology Physician 2085N0904X 037520 GA

Addresses

Primary practice location

3305 Bobby Brown Pkwy
East Point, GA 30344-5012

Mailing address

3305 Bobby Brown Pkwy
East Point, GA 30344-5012
Phone (404) 806-8181

Other identifiers 2

IdentifierTypeStateIssuer
360335904BMedicaidGA
GRP7052OtherGAMEDICARE GROUP PIN

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
I20050418000247 GA Practitioner - Family PracticePractitioner - General PracticePractitioner - Cardiovascular Disease (Cardiology)Practitioner - DermatologyPractitioner - Internal MedicinePractitioner - Nuclear MedicinePractitioner - Geriatric MedicinePractitioner - Preventive Medicine 5698712321 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Cardiovascular Disease (Cardiology), Dermatology, General Practice, Geriatric Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Office ForceGroup PAC ID 9335481951, 58 clinicians

Practice addresses (Care Compare)

2005 Prince Ave
Athens, GA 30606-6032
Phone (706) 208-9700

3305 Bobby Brown Pkwy
Atlanta, GA 30344-5012
Phone (404) 806-8181

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
037520GAMDFamily Medicine Physician
GA037520GAMDNuclear Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Office Force Multi-Specialty CurrentSince May 1, 2025 Accepting new patients
Airport Primary Care, LLC. Multi-Specialty CurrentSince Jan 17, 2005 Accepting new patients
Gregory L. Wehunt, D.O. Multi-Specialty Past Accepting new patients
Bio-Molecular Imaging & Therapy, LLC. Radiology PastSince Jan 17, 2005 Accepting new patients

Locations

2005 Prince Ave
Athens, GA 30606
Phone (706) 296-8632

3305 Bobby Brown Pkwy
East Point, GA 30344
Phone (404) 806-8181

3305 Bobby Brown Pkwy
Ste A
East Point, GA 30344
Phone (678) 665-3618

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413676800000",
    "number": "1760512016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 BOBBY BROWN PKWY",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303445012",
            "telephone_number": "404-806-8181",
            "fax_number": "770-456-5469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 BOBBY BROWN PKWY",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303445012",
            "telephone_number": "404-806-8181",
            "fax_number": "770-456-5469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAYA",
        "first_name": "SHASHIKANT",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2014-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "GA",
            "license": "037520",
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "GA",
            "license": "037520",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "GA037520",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "037520",
            "primary": true
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "GA",
            "license": "037520",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "GA",
            "license": "037520",
            "primary": false
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "GA",
            "license": "GA037520",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "GA",
            "license": "GA037520",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "GA",
            "license": "037520",
            "primary": false
        },
        {
            "code": "207UN0902X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": "GA",
            "license": "GA037520",
            "primary": false
        },
        {
            "code": "207UN0902X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": "GA",
            "license": "037520",
            "primary": false
        },
        {
            "code": "207UN0903X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, In Vivo & In Vitro Nuclear Medicine",
            "state": "GA",
            "license": "GA037520",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "GA",
            "license": "037520",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "GA",
            "license": "037520",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "360335904B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PIN",
            "identifier": "GRP7052",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Point, GA

Sources for this page

Verify at the official NPI Registry.