Active NPI
Shayan Shuja Anwar, DO
- Hospitalist Physician
- Hiram, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 94970
- Practice address
- 2518 Jimmy Lee Smith Pkwy
Hiram, GA 30141-2068 - Phone
- (470) 644-8027
- Fax
- (470) 985-7105
- NPI assigned
- Mar 26, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
Family Medicine, GA
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
- General Acute Care Hospital
- Hiram, GA
- NPI 1457329435
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Griffin, GA
- NPI 1972535318
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Philadelphia College of Osteopathic Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wellstar Medical Group LLC
Practice addresses (Care Compare)
2518 Jimmy Lee Smith Pkwy
Hiram, GA 30141-2068
Phone (770) 732-4022
3000 Hospital Blvd
Roswell, GA 30076-4915
Phone (770) 751-2912
3950 Austell Rd
Austell, GA 30106-1121
Phone (770) 732-4022
5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222
601 S 8TH St
Griffin, GA 30224-4213
Phone (770) 228-2721
625 Church Nest
Marietta, GA 30060-1101
Phone (770) 422-2004
677 Church Nest
Marietta, GA 30060-1101
677 Church St NE
Suite 100P
Marietta, GA 30060-1101
Phone (470) 793-8585
Hospital & facility affiliations
- Wellstar Paulding Medical Center
- Wellstar North Fulton Medical Center
- Wellstar Spalding Medical Center
- Wellstar Cobb Medical Center
- Wellstar Kennestone Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Medicare enrollment records 2
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210806002744 | VA | Practitioner - Hospitalist | 3072861400 | Reassigns benefits to 1 organization |
| I20230623000801 | GA | Practitioner - Hospitalist | 3072861400 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VA0116031889 | VA | MD | Family Medicine Physician |
| 94970 | GA | MD | Hospitalist Physician |
| 2021-01731 | NC | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Family Medicine | Current | Accepting new patients |
| Apogee Medical Group Virginia, PC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Paulding Medical Center, Inc. | Past | Accepting new patients |
Locations
15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601
2518 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (470) 644-7000
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
142 S Main St
Ofc
Danville, VA 24541
Phone (434) 799-2225
142 S Main St
Danville, VA 24541
Phone (434) 799-2100
320 Hospital Dr
Martinsville, VA 24112
Phone (276) 666-7200
Specialties & licenses 5
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | VA0116031889 | VA | |
| Family Medicine Physician | 207Q00000X | 0102205766 | VA | |
| Family Medicine Physician | 207Q00000X | 2021-01731 | NC | |
| Hospitalist Physician | 208M00000X | 2021-01731 | NC | |
| Hospitalist Physician | 208M00000X | 94970 | GA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2518 Jimmy Lee Smith Pkwy
Hiram, GA 30141-2068
Mailing address
2518 Jimmy Lee Smith Pkwy
Hiram, GA 30141-2068
Phone (470) 644-8027
Other practice location 1
142 South Main Street
Hospitalist Office
Danville, VA 24541-1222
Phone (434) 799-2225
Other practice location 2
601 N Elm St
High Point, NC 27262-4331
Phone (336) 878-6000
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sanwar526486@directwellstar.org |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 6, 2023.
{
"created_epoch": "1522022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693958400000",
"number": "1861997462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2518 JIMMY LEE SMITH PKWY",
"city": "HIRAM",
"state": "GA",
"postal_code": "301412068",
"telephone_number": "470-644-8027",
"fax_number": "470-985-7105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2518 JIMMY LEE SMITH PKWY",
"city": "HIRAM",
"state": "GA",
"postal_code": "301412068",
"telephone_number": "470-644-8027",
"fax_number": "470-985-7105"
}
],
"practiceLocations": [
{
"address_1": "142 South Main Street",
"address_2": "Hospitalist Office",
"address_purpose": "LOCATION",
"city": "Danville",
"state": "VA",
"postal_code": "245411222",
"country_code": "US",
"telephone_number": "434-799-2225",
"fax_number": "434-773-7924",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "601 N Elm St",
"address_purpose": "LOCATION",
"city": "High Point",
"state": "NC",
"postal_code": "272624331",
"country_code": "US",
"telephone_number": "336-878-6000",
"fax_number": "336-716-0030",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANWAR",
"first_name": "SHAYAN",
"middle_name": "SHUJA",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-26",
"last_updated": "2023-09-06",
"certification_date": "2023-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "VA0116031889",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0102205766",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2021-01731",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NC",
"license": "2021-01731",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "GA",
"license": "94970",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sanwar526486@directwellstar.org",
"affiliation": "N",
"address_1": "2518 Jimmy Lee Smith Pkwy",
"city": "Hiram",
"state": "GA",
"country_code": "US",
"postal_code": "301412068",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hiram, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.