Shishir Gupta, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

99378 Issued in GA

Practice address

6110 Pine Mountain Rd NW Ste 201
Kennesaw, GA 30152-3357

Phone

(404) 589-3366

Fax

(877) 682-6790

NPI assigned

Mar 26, 2021

Last updated

May 19, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

State licenses

Practice roles

Locations

Interoperability endpoints

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Peachtree Health Group LLC

  dba Kennesaw Primary Care

  • General Practice Physician
  • Kennesaw, GA
  • NPI 1174472641

  Internal Medicine

  NPD Authorized official

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1912584715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6110 PINE MOUNTAIN RD NW STE 201",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301523357",
            "telephone_number": "404-589-3366",
            "fax_number": "877-682-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6110 PINE MOUNTAIN RD NW STE 201",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301523357",
            "telephone_number": "404-589-3366",
            "fax_number": "877-682-6790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "SHISHIR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-26",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "99378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nithya Guhanand, MD
• Emma M. Guice, F.N.P
• Saad Guliwala
• Amanda Gulley
• Kathleen Marie Gunchick, MD
• Alexa Gusmerotti
• Tanya L Gustafson, LAMFT
• H & T Eye Group, LLC (Hobson Tasman Eye Group)
• Hackett-Hayes & Associates Inc (Spectrum Behavioral Associates)
• Heather Hackett-Hayes, BCBA

• Internal Medicine Physician in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; 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.