Individual provider Active NPI

Shivani Dhir, PA-C

  • Physician Assistant
  • Atlanta, GA
National Provider Identifier
1801580980
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
11818 Issued in GA
Practice address
2850 Paces Ferry Rd SE Ste 450
Atlanta, GA 30339-5725
Phone
(770) 732-1137
Fax
(770) 732-2081
NPI assigned
Jun 2, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X 11818 GA Primary

Addresses

Primary practice location

2850 Paces Ferry Rd SE Ste 450
Atlanta, GA 30339-5725

Mailing address

2850 Paces Ferry Rd SE Ste 450
Atlanta, GA 30339-5725
Phone (770) 732-1137

Other practice location 1

1550 Mulkey Rd
Austell, GA 30106-1112
Phone (770) 732-1137

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1550 Mulkey Rd
Austell, GA 30106-1112

2734 Broughton LN SE
Atlanta, GA 30339-4196

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta West Dermatology & Surgery Center PC Single Specialty CurrentSince Jun 1, 2026 Accepting new patients
Kayal Dermatology & Skin Cancer Specialists Single Specialty PastSince Sep 5, 2023 Accepting new patients
Advanced Dermatology,P.C. Single Specialty PastSince Jun 1, 2026 Accepting new patients

Locations

2850 Paces Ferry Rd SE
Ste 450
Atlanta, GA 30339
Phone (770) 732-1137

1550 Mulkey Rd
Austell, GA 30106
Phone (770) 732-1137

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1801580980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 PACES FERRY RD SE STE 450",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395725",
            "telephone_number": "770-732-1137",
            "fax_number": "770-732-2081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 PACES FERRY RD SE STE 450",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395725",
            "telephone_number": "770-732-1137",
            "fax_number": "770-732-2081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1550 Mulkey Rd",
            "address_purpose": "LOCATION",
            "city": "Austell",
            "state": "GA",
            "postal_code": "301061112",
            "country_code": "US",
            "telephone_number": "770-732-1137",
            "fax_number": "770-732-2081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DHIR",
        "first_name": "SHIVANI",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-02",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "11818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.