Meena J Shah, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

021464 Issued in GA

Practice address

3490 Pleasant Hill Rd
Duluth, GA 30096-3188

Phone

(770) 814-2870

Fax

(770) 814-2872

NPI assigned

May 9, 2006

Sex

Female

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 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

Specialty

Family Practice

Education

Other, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Gwinnett Clinic, LTDGroup PAC ID 9436061801, 44 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Kennesaw, GA, CCN 117027
• Piedmont Walton Hospital Hospital, Monroe, GA, CCN 110046
• NGMC Barrow, LLC Hospital, Winder, GA, CCN 110045

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: meena.shah@gclinic.emedpractice.direct-ci.com
• Direct secure messaging: meena.shah.1@32352.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/32352/brand/1/csg/1/fhir/r4

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.

• Gwinnett Clinic LTD

  • Multi-Specialty Clinic/Center
  • Duluth, GA
  • NPI 1629117650
  Medicare reassignment Care Compare group NPD
• Gwinnett Clinic, LTD

  • Multi-Specialty Clinic/Center
  • Suwanee, GA
  • NPI 1528212149

  Family Medicine

  NPD
• Sleep Disorder Center @ Gwinnett Clinic

  • Legal Medicine
  • Suwanee, GA
  • NPI 1619242302
  NPD
• Gwinnett Clinic, LTD

  • Multi-Specialty Clinic/Center
  • Loganville, GA
  • NPI 1255342630

  Family Medicine

  NPD (past)
• Gwinnett Clinic, LTD

  • Multi-Specialty Clinic/Center
  • Lawrenceville, GA
  • NPI 1548271026

  Family Medicine

  NPD (past)

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

• Healthfield Home Health, LLC

  • Home Health Agency
  • Kennesaw, GA
  • NPI 1770513574
  Care Compare affiliation
• NGMC Barrow LLC

  • General Acute Care Hospital
  • Winder, GA
  • NPI 1881144889
  Care Compare affiliation
• Piedmont Walton Hospital Inc

  • General Acute Care Hospital
  • Monroe, GA
  • NPI 1720589328
  Care Compare affiliation

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673654400000",
    "number": "1912956707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10600 MEDLOCK BRIDGE RD",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300978404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3490 PLEASANT HILL RD",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963188",
            "telephone_number": "770-814-2870",
            "fax_number": "770-814-2872"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "475 Philip Blvd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300468737",
            "country_code": "US",
            "telephone_number": "770-995-3300",
            "fax_number": "770-995-3307",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10600 Medlock Bridge Rd",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "GA",
            "postal_code": "300978404",
            "country_code": "US",
            "telephone_number": "770-418-0818",
            "fax_number": "678-206-0156",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4870 Lawrenceville Hwy",
            "address_purpose": "LOCATION",
            "city": "Tucker",
            "state": "GA",
            "postal_code": "300842952",
            "country_code": "US",
            "telephone_number": "770-496-1429",
            "fax_number": "770-270-5854",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3068 Old Norcross Rd",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "GA",
            "postal_code": "300964914",
            "country_code": "US",
            "telephone_number": "770-925-7232",
            "fax_number": "770-638-3315",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2327 Highway 29 E",
            "address_purpose": "LOCATION",
            "city": "Dacula",
            "state": "GA",
            "postal_code": "300192205",
            "country_code": "US",
            "telephone_number": "770-962-0054",
            "fax_number": "770-962-1747",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1740 Lawrenceville Hwy",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300444609",
            "country_code": "US",
            "telephone_number": "770-995-5695",
            "fax_number": "678-205-8210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1390 W Spring St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "GA",
            "postal_code": "306551759",
            "country_code": "US",
            "telephone_number": "770-266-6191",
            "fax_number": "770-266-6707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1289 Scenic Hwy",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300456358",
            "country_code": "US",
            "telephone_number": "770-972-9000",
            "fax_number": "770-736-0556",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2650 Lawrenceville Suwanee Rd",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300244918",
            "country_code": "US",
            "telephone_number": "678-205-5000",
            "fax_number": "678-240-2080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "475 Philip Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300468736",
            "country_code": "US",
            "telephone_number": "770-995-3300",
            "fax_number": "770-995-3307",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "455 Beaver Ruin Rd NW",
            "address_purpose": "LOCATION",
            "city": "Lilburn",
            "state": "GA",
            "postal_code": "300473413",
            "country_code": "US",
            "telephone_number": "770-923-7778",
            "fax_number": "770-806-1383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "475 Philip Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300468736",
            "country_code": "US",
            "telephone_number": "678-226-6202",
            "fax_number": "678-240-2152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "475 Philip Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300468737",
            "country_code": "US",
            "telephone_number": "678-226-6201",
            "fax_number": "678-225-4037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2764 W Main St",
            "address_purpose": "LOCATION",
            "city": "Snellville",
            "state": "GA",
            "postal_code": "300785708",
            "country_code": "US",
            "telephone_number": "770-978-3388",
            "fax_number": "770-978-0807",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4397 Atlanta Hwy",
            "address_purpose": "LOCATION",
            "city": "Loganville",
            "state": "GA",
            "postal_code": "300522642",
            "country_code": "US",
            "telephone_number": "770-554-0800",
            "fax_number": "770-554-0080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4580 Nelson Brogdon Blvd",
            "address_purpose": "LOCATION",
            "city": "Buford",
            "state": "GA",
            "postal_code": "305183478",
            "country_code": "US",
            "telephone_number": "770-831-6703",
            "fax_number": "770-831-6705",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5595 Peachtree Pkwy",
            "address_purpose": "LOCATION",
            "city": "Norcross",
            "state": "GA",
            "postal_code": "300922551",
            "country_code": "US",
            "telephone_number": "770-242-8001",
            "fax_number": "770-242-6279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "175 N Broad St",
            "address_purpose": "LOCATION",
            "city": "Winder",
            "state": "GA",
            "postal_code": "306802153",
            "country_code": "US",
            "telephone_number": "770-868-1144",
            "fax_number": "770-868-1276",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5196 Highway 53",
            "address_purpose": "LOCATION",
            "city": "Braselton",
            "state": "GA",
            "postal_code": "305173112",
            "country_code": "US",
            "telephone_number": "706-824-9929",
            "fax_number": "706-654-9373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "MEENA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2023-01-14",
        "certification_date": "2023-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "021464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Noel Sewell, LPC
• Abel Seyefu
• Haleh Shafa, O.D.
• Avni Shah, PHARM .D.
• Laila Mousavi Shah
• Parul Shah, RD/LD
• Qutija Manzoor Shaik, RBT
• Amala Shainu
• Roslyn Shamsi
• Alexus Jennivie Shaw

• Family Medicine Physician in Duluth, GA
• Providers in Duluth, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.

Verify at the official NPI Registry.