Individual provider Active NPI

Amit Deepak Shah, M.D.

  • Neurology Physician
  • Sandy Springs, GA
National Provider Identifier
1790028769
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
80242 Issued in GA
Practice address
6458 Meridian Way
Sandy Springs, GA 30328-2895
Phone
(678) 524-7388
NPI assigned
Mar 28, 2013
Sex
Male
Sole proprietor
No

Organizations & group practices 6

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 9

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

Medicare Care Compare profile

Specialty
Neurology
Education
Medical College of Georgia School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Monitoring Services LLC (3 clinicians)
Interpreting Physician Associates LLC (4 clinicians)

Practice addresses (Care Compare)

3497 Wagon Wheel Rd
Springdale, AR 72762-0115
Phone (877) 295-2554

6458 Meridian Way
Sandy Springs, GA 30328-2895
Phone (678) 524-7388

Hospital & facility affiliations

  • Baylor Scott and White Surgical Hospital Fortworth Hospital · Fort Worth, TX · CCN 450880
  • St Vincent Medical Center/North Hospital · Sherwood, AR · CCN 040137
  • Tulsa Spine & Specialty Hospital Hospital · Tulsa, OK · CCN 370216
  • Englewood Hospital and Medical Center Hospital · Englewood, NJ · CCN 310045
  • Northeastern Health System Hospital · Tahlequah, OK · CCN 370089

Medicare participation

Medicare fee-for-service enrollment
Enrolled (3 enrollments) in GA, AR, CO
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20181001002374 GA Practitioner - Neurology 3779834700 Reassigns benefits to 2 organizations
I20190318001782 AR Practitioner - Neurology 3779834700 Reassigns benefits to 1 organization
I20251022003392 CO Practitioner - Neurology 3779834700 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E-12152ARMDNeurology Physician
80242GAMDNeurology Physician
04-41999KSMDNeurology Physician
2019015696MOMDNeurology Physician
37207OKMDNeurology Physician
TM00838TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amb Eeg LLC Current
since Oct 1, 2024
Accepting new patients
Interpreting Physician Associates LLC Current
since May 1, 2019
Accepting new patients
Neurologic, LLC Current
since Oct 16, 2025
Accepting new patients
Advanced Monitoring Services LLC Current
since Apr 1, 2019
Accepting new patients
Neurologiciom Past Accepting new patients

Locations (25 of 46)

3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100

1555 Exchange Ave
Conway, AR 72032
Phone (501) 202-2300

2302 College Ave
Conway, AR 72034
Phone (501) 329-3831

3215 N Northhills Blvd
Fayetteville, AR 72703
Phone (479) 463-1000

1001 Towson Ave
Fort Smith, AR 72901
Phone (479) 441-3980

7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600

300 Werner St
Hot Springs National Park, AR 71913
Phone (501) 622-1000

225 E Washington Ave
Jonesboro, AR 72401
Phone (870) 207-1630

2 Saint Vincent Cir
Little Rock, AR 72205
Phone (501) 552-2680

4300 W 7th St
Little Rock, AR 72205
Phone (501) 257-5772

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

1 Childrens Way
Little Rock, AR 72202
Phone (501) 364-1874

8201 Cantrell Rd
Ste 265
Little Rock, AR 72227
Phone (501) 661-0077

624 Hospital Dr
Mountain Home, AR 72653
Phone (870) 424-1000

3333 Springhill Dr
North Little Rock, AR 72117
Phone (501) 202-3000

5201 Northshore Dr
North Little Rock, AR 72118
Phone (501) 748-8000

2710 S Rife Medical Ln
Rogers, AR 72758
Phone (479) 338-8000

3721 S Champions Dr
Ste 100
Rogers, AR 72758
Phone (479) 336-5150

2215 Wildwood Ave
Sherwood, AR 72120
Phone (501) 522-7100

3497 Wagon Wheel Rd
Springdale, AR 72762
Phone (479) 717-2467

4845 Pearl East Cir
Ste 101
Boulder, CO 80301
Phone (303) 447-7174

403 W Ponce de Leon Ave
Decatur, GA 30030
Phone (404) 931-3066

403 W Ponce de Leon Ave
Ste 206
Decatur, GA 30030
Phone (404) 642-0259

1619 K66
Galena, KS 66739
Phone (417) 347-7272

302 N Hospital Dr
Girard, KS 66743
Phone (620) 724-8291

Specialties & licenses 8

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 61098 CA
Neurology Physician 2084N0400X 04-41999 KS
Neurology Physician 2084N0400X 37207 OK
Neurology Physician 2084N0400X 2019015696 MO
Neurology Physician 2084N0400X E-12152 AR
Neurology Physician 2084N0400X TM00838 TX
Student in an Organized Health Care Education/Training Program 390200000X
Neurology Physician 2084N0400X 80242 GA Primary

Addresses

NPPES NPI Registry

Primary practice location

6458 Meridian Way
Sandy Springs, GA 30328-2895

Mailing address

6458 Meridian Way
Sandy Springs, GA 30328-2895

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 12, 2023.

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1790028769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6458 MERIDIAN WAY",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303282895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6458 MERIDIAN WAY",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303282895",
            "telephone_number": "678-524-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "AMIT",
        "middle_name": "DEEPAK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-28",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "61098",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KS",
            "license": "04-41999",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OK",
            "license": "37207",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "2019015696",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AR",
            "license": "E-12152",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "TM00838",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "80242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Springs, GA

Sources for this page

Verify at the official NPI Registry.