Active NPI
Shanil Lara Harkins, MD
- Gastroenterology Physician
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 071807
- Practice address
- 3747 Roswell Rd Ste 314
Marietta, GA 30062 - Phone
- (678) 741-5000
- Fax
- (770) 321-1318
- NPI assigned
- Jun 26, 2008
- Last updated
- May 31, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 071807 | GA | Primary |
Addresses
Primary practice location
3747 Roswell Rd Ste 314
Marietta, GA 30062
Mailing address
711 Canton Rd NE Ste 300
Marietta, GA 30060-8949
Phone (678) 741-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003146414A | Medicaid | GA |
Other names 1
- Shanil Lara Rivera
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Ponce School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1121 Johnson Ferry Rd
Suite 150
Marietta, GA 30068-2791
Phone (678) 741-5000
118 Mill St
Suite 100
Woodstock, GA 30188-4880
Phone (678) 741-5000
118 Mill St
Suite 110
Woodstock, GA 30188-4812
Phone (678) 741-5000
2550 Windy Hill Rd SE
Marietta, GA 30067-8655
Phone (678) 741-5000
711 Canton Rd
Suite 300
Marietta, GA 30060-1136
Phone (678) 741-5000
711 Canton Rd NE
Suite 300
Marietta, GA 30060-8949
Phone (678) 741-5000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 55 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 55 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071807 | GA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastrointestinal Specialist of Georgia | Gastroenterology | Current | Accepting new patients |
Locations
1700 Hospital South Dr
Ste 410
Austell, GA 30106
Phone (678) 741-2317
13 Reinhardt College Pkwy
#200
Canton, GA 30114
6002 Professional Pkwy
Ste 200
Douglasville, GA 30134
Phone (770) 942-0457
148 Bill Carruth Pkwy
Ste 200
Hiram, GA 30141
880 Crestmark Dr
Ste 102
Lithia Springs, GA 30122
Phone (678) 388-2040
1121 Johnson Ferry Rd
Ste 150
Marietta, GA 30068
Phone (770) 977-1510
2550 Windy Hill Rd SE
Ste 302
Marietta, GA 30067
Phone (678) 574-0943
2550 Windy Hill Rd SE
Ste 307
Marietta, GA 30067
Phone (770) 953-1414
3747 Roswell Rd
Ste 314
Marietta, GA 30062
Phone (770) 424-4328
711 Canton Rd NE
Ste 300
Marietta, GA 30060
Phone (678) 741-2317
1357 Hembree Rd
Ste 240
Roswell, GA 30076
Phone (404) 446-3600
118 Mill St
Ste 100
Woodstock, GA 30188
Phone (678) 741-2317
118 Mill St
Ste 110
Woodstock, GA 30188
Phone (678) 607-2264
Interoperability endpoints
- shanil.harkins@gsg.eclinicaldirectplus.com
Organizations & group practices 1
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.
-
- Gastroenterology Physician
- Marietta, GA
- NPI 1801975339
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Wellstar Kennestone Hospital
- General Acute Care Hospital
- Marietta, GA
- NPI 1649248626
-
dba Wellstar Windy Hill Hospital
- Long Term Care Hospital
- Marietta, GA
- NPI 1700853041
Long-term care hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527724800000",
"number": "1821250267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 CANTON RD NE STE 300",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300608949",
"telephone_number": "678-741-5000",
"fax_number": "678-819-4280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3747 ROSWELL RD STE 314",
"city": "MARIETTA",
"state": "GA",
"postal_code": "30062",
"telephone_number": "678-741-5000",
"fax_number": "770-321-1318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARKINS",
"first_name": "SHANIL",
"middle_name": "LARA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-26",
"last_updated": "2018-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "GA",
"license": "071807",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003146414A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHANIL",
"last_name": "LARA RIVERA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; 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.