Individual provider Active NPI

Charanjit S. Shikh, M.D.

  • Internal Medicine Physician
  • Decatur, GA
National Provider Identifier
1871668079
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
037451 Issued in GA
Practice address
2891-C North Decatur Road
Decatur, GA 30033
Phone
(404) 298-0008
Fax
(404) 298-0087
NPI assigned
Nov 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 037451 GA Primary

Addresses

Primary practice location

2891-C North Decatur Road
Decatur, GA 30033

Mailing address

PO Box 28218
Sandy Springs, GA 30358-0218
Phone (404) 325-9600

Other identifiers 1

IdentifierTypeStateIssuer
00586407DMedicaidGA

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
I20070723000139 GA Practitioner - Internal Medicine 0941202709 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2891 N Decatur Rd
Suite C
Decatur, GA 30033-7426
Phone (404) 298-0008

5975 Roswell Rd
Suite A105
Sandy Springs, GA 30328-4048
Phone (404) 941-1160

Hospital & facility affiliations

  • Northside Hospital Hospital, Atlanta, GA, CCN 110161

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
037451GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Primary Care Center, PC Internal Medicine CurrentSince Jan 5, 1998 Accepting new patients

Locations

2891 N Decatur Rd
Ste C
Decatur, GA 30033
Phone (404) 298-0008

5975 Roswell Rd
Ste A105
Sandy Springs, GA 30328
Phone (404) 696-4141

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JFDDAA/Endpoint/JFDDAA

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349049600000",
    "number": "1871668079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28218",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303580218",
            "telephone_number": "404-325-9600",
            "fax_number": "404-298-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2891-C NORTH DECATUR ROAD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "30033",
            "telephone_number": "404-298-0008",
            "fax_number": "404-298-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIKH",
        "first_name": "CHARANJIT",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2012-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "037451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00586407D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.