Shayan Ahmadi, PAAA
Individual provider Active NPI Anesthesiologist Assistant · Atlanta, GA
NPI 1902181738 · NPPES record last updated Dec 15, 2025
Key facts
- NPI
- 1902181738
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiologist Assistant 367H00000X
- License
- 006229 (GA)
- Practice address
- 1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606 - Phone
- (770) 645-9181
- NPI assigned
- Oct 12, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Anesthesiology Assistant
- Education
- Other, 2011
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Mak Anesthesia Holdings, LLC
Wellstar Medical Group LLC
Practice addresses (Care Compare)
3950 Austell Rd
Austell, GA 30106-1121
Phone (770) 702-1806
5150 Stilesboro N W Rd
Suite 120
Kennesaw, GA 30152
Phone (678) 354-0230
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120405000177 | GA | Practitioner - Anesthesiology Assistant | 3870766983 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Associate of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ANT.0000317 | CO | MD | Anesthesiologist Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current |
Accepting new patients | |
| Catholic Health Initiatives Colorado | Current |
Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current |
Accepting new patients | |
| Catholic Health Initiatives Colorado | Current |
Accepting new patients |
Locations
1010 Three Springs Blvd
Durango, CO 81301
Phone (970) 247-4311
41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551
3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752
5150 Stilesboro Rd NW
Ste 120
Kennesaw, GA 30152
Phone (678) 354-0230
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
3000 Hospital Blvd
Roswell, GA 30076
Phone (770) 751-2500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | ANT.0000317 | CO | |
| Anesthesiologist Assistant | 367H00000X | 006229 | GA | Yes |
Addresses
Primary practice location
1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606
Mailing address
3155 N Point Pkwy Ste F100
Alpharetta, GA 30005-5495
Phone (770) 645-9181
Other practice location 1
1010 Three Springs Blvd
Durango, CO 81301-8296
Phone (970) 761-3200
Other providers in Atlanta, GA
- Susan Ahearn
- Ahi Atlanta, LLC
- Latifah Ahmad
- Rubab Ahmad
- Rebecca Ahmadi
- Shelly J Ahmann
- Absar Ahmed
- Amr Ahmed
- Arsalaa Ahmed
- Ayan Ahmed
All providers in Atlanta, GA · Anesthesiologist Assistant in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.