Individual provider Active NPI

Shazia Naib, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Decatur, GA
National Provider Identifier
1841313749
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
062573 Issued in GA
Practice address
2124 Candler Rd
Decatur, GA 30032-5572
Phone
(404) 836-0272
NPI assigned
Apr 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 062573 GA Primary

Addresses

Primary practice location

2124 Candler Rd
Decatur, GA 30032-5572

Mailing address

2395 Mossy Branch Dr
Snellville, GA 30078-7775
Phone (770) 695-0719

Other practice location 1

1841 Clifton Rd NE
Atlanta, GA 30329-4021
Phone (404) 728-6363

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
I20091014000463 GA Practitioner - Internal MedicinePractitioner - Geriatric Medicine 8426194903 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PMR Georgia Holding LLCGroup PAC ID 8426466590, 19 clinicians

Practice addresses (Care Compare)

2124 Candler Rd
Decatur, GA 30032-5572
Phone (404) 836-0272

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Georgia Physicians Group Inc CurrentSince Feb 1, 2017 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Sep 1, 2015 Accepting new patients
Georgia Hospitalists Group, LLC Current Accepting new patients
Southern Regional Physicians Management Group, LLC CurrentSince Oct 17, 2017 Accepting new patients
Georgia Hospitalists Group, LLC CurrentSince Jan 25, 2016 Accepting new patients
Jencare Neighborhood Medical Center West End, LLC PastSince Aug 4, 2014 Accepting new patients

Locations

1400 River Pl
Braselton, GA 30517
Phone (770) 219-6000

2360 Rockmart Hwy
Cedartown, GA 30125
Phone (770) 748-2500

743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915

597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275

601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721

11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277

11 Upper Riverdale Rd SW
Ste 21
Riverdale, GA 30274

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

1700 Medical Way
Snellville, GA 30078
Phone (770) 978-4229

801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 7

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": "1175990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1841313749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2395 MOSSY BRANCH DR",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300787775",
            "telephone_number": "770-695-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 CANDLER RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300325572",
            "telephone_number": "404-836-0272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1841 Clifton Rd NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303294021",
            "country_code": "US",
            "telephone_number": "404-728-6363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAIB",
        "first_name": "SHAZIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-08",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "GA",
            "license": "062573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.