Individual provider Active NPI

Stuart K. Shapira, MD, PHD

  • Clinical Genetics (M.D.) Physician
  • Atlanta, GA
National Provider Identifier
1902147093
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Genetics (M.D.) PhysicianTaxonomy code 207SG0201X
License
56645 Issued in GA
Practice address
1600 Clifton Rd., Mailstop E-87
Atlanta, GA 30333
Phone
(404) 498-3550
Fax
(404) 498-3070
NPI assigned
Mar 14, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Genetics (M.D.) Physician 207SG0201X 56645 GA Primary

Addresses

Primary practice location

1600 Clifton Rd., Mailstop E-87
Atlanta, GA 30333

Mailing address

1600 Clifton Rd., Mailstop E-87
Atlanta, GA 30333
Phone (404) 498-3550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
56645GAMDClinical Genetics (M.D.) Physician

NPI Registry JSON

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363219200000",
    "number": "1902147093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 CLIFTON RD., MAILSTOP E-87",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30333",
            "telephone_number": "404-498-3550",
            "fax_number": "404-498-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CLIFTON RD., MAILSTOP E-87",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30333",
            "telephone_number": "404-498-3550",
            "fax_number": "404-498-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRA",
        "first_name": "STUART",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-14",
        "last_updated": "2013-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "GA",
            "license": "56645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.