Shikha Srivastava, M.D., F.A.C.S.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

038973 Issued in GA

Practice address

1040 Eagles Landing Parkway
Suite 100
Stockbridge, GA 30281-9073

Phone

(770) 474-7287

Fax

(770) 389-3713

NPI assigned

Oct 7, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Surgery South PC

  • Surgery Physician
  • Stockbridge, GA
  • NPI 1861527616
  Medicare reassignment NPD

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398384000000",
    "number": "1851389415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 EAGLES LANDING PARKWAY",
            "address_2": "SUITE 100",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819073",
            "telephone_number": "770-474-7287",
            "fax_number": "770-389-3713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 EAGLES LANDING PARKWAY",
            "address_2": "SUITE 100",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819073",
            "telephone_number": "770-474-7287",
            "fax_number": "770-389-3713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRIVASTAVA",
        "first_name": "SHIKHA",
        "name_prefix": "Dr.",
        "credential": "M.D., F.A.C.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-07",
        "last_updated": "2014-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "038973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00624588C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jorge A Spinolo, MD
• Mary Jo Spitznagel White, LPC, CRC
• Springforth Mental Health & Wellness, LLC
• Sheanell Renee Spurlock, LISCNSED PCH
• Dylan Matthew Squires
• Andrea Hood Stack, AU.D.
• Christopher Stafford
• Caroline Staines
• Felicity Rose Stallworth
• Kiesha Michele Stanley, LPC

• Surgery Physician in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.