Individual provider Active NPI

Shivani Rajat Ghaiy, CRNA

  • Certified Registered Nurse Anesthetist
  • Lawrenceville, GA
National Provider Identifier
1942355458
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN167419 Issued in GA
Practice address
1000 Medical Center Blvd
Lawrenceville, GA 30046-7694
Phone
(770) 277-3056
Fax
(855) 204-5244
NPI assigned
Jan 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN167419 GA Primary

Addresses

Primary practice location

1000 Medical Center Blvd
Lawrenceville, GA 30046-7694

Mailing address

PO Box 551420
Fort Lauderdale, FL 33355-1420
Phone (800) 243-3839

Other practice location 1

775 Poplar Rd Ste Ll20
Newnan, GA 30265-8306
Phone (770) 253-1912

Other practice location 2

1255 Highway 54 W
Fayetteville, GA 30214-4526
Phone (404) 351-1745

Other practice location 3

745 Poplar Rd
Newnan, GA 30265-1618
Phone (770) 400-1000

Other practice location 4

1938 Peachtree Rd NW
Atlanta, GA 30309-1267
Phone (678) 216-0771

Other practice location 5

1800 Howell Mill Rd NW Ste 250
Atlanta, GA 30318-2593
Phone (404) 537-4910

Other identifiers 1

IdentifierTypeStateIssuer
690286696AMedicaidGA

Other names 1

  • Shivani J. Patel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070222000655 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2860594710 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2006
Medicare assignment
May accept Medicare assignment
Group practices
Lifelinc Anesthesia PLLCGroup PAC ID 0941347447, 169 clinicians
Mak Anesthesia Holdings, LLCGroup PAC ID 4284917204, 370 clinicians

Practice addresses (Care Compare)

3193 Howell Mill Rd NW
Suite 100
Atlanta, GA 30327-2129
Phone (404) 350-1410

9930 Johnson Ferry Rd NE
Suite 200
Atlanta, GA 30342
Phone 7707021806209

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN167419GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
American Anesthesiology Associates of Georgia, LLC CurrentSince May 10, 2013 Accepting new patients
Northlake Anesthesia Professionals, LLC CurrentSince Jun 28, 2024 Accepting new patients
Interventional Spine and Pain Management Ambulatory Surgical Center CurrentSince Feb 26, 2011 Accepting new patients
Mak Anesthesia Georgia, LLC CurrentSince Feb 1, 2024 Accepting new patients
Sentry Anesthesia Management, LLC CurrentSince Oct 30, 2024 Accepting new patients
North Atlanta Anesthesia Professionals, LLC CurrentSince May 1, 2022 Accepting new patients
SG Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 16, 2024 Accepting new patients
Ahs Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 19, 2013 Accepting new patients
Mak Anesthesia Holdings LLC CurrentSince Dec 1, 2022 Accepting new patients
North Atlanta Professional Services LLC CurrentSince Jan 28, 2021 Accepting new patients
Piedmont Anesthesia Associates, L.L.C CurrentSince Feb 14, 2017 Accepting new patients
Mulkey Anesthesiology Associates LLC CurrentSince Feb 26, 2011 Accepting new patients
Ahs Surgery Center Canton LLC PastSince Nov 5, 2016 Accepting new patients
Northside Anesthesiology Consultants, LLC Past Accepting new patients
Piedmont Anesthesia LLC Past Accepting new patients

Locations (25 of 29)

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

1800 Howell Mill Rd NW
Ste 250
Atlanta, GA 30318
Phone (404) 537-4910

1984 Peachtree Rd NW
Ste 515
Atlanta, GA 30309
Phone (404) 351-1754

1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222

303 Parkway Dr NE
Atlanta, GA 30312
Phone (404) 265-4000

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

3870 Medical Park Dr
Ste 100
Austell, GA 30106

2041 Mesa Valley Way
Ste 125
Austell, GA 30106
Phone (678) 309-8100

3870 Medical Park Dr
Austell, GA 30106
Phone (770) 923-7778

201 Kimberly Way
Ste 100
Canton, GA 30114

2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000

1255 Highway 54 W
Fayetteville, GA 30214
Phone (770) 719-6911

601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721

1266 Highway 515 S
Jasper, GA 30143
Phone (706) 301-5350

763 Old Norcross Rd
Lawrenceville, GA 30046
Phone (678) 985-1994

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

2550 Windy Hill Rd SE
Ste 218
Marietta, GA 30067
Phone (770) 933-1900

775 Poplar Rd
Ste LL20
Newnan, GA 30265
Phone (770) 253-1912

745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785

1100 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 255-9096

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

1100 Johnson Fy Rd NE
Ste 130
Sandy Springs, GA 30342
Phone (404) 531-9988

5995 Barfield Rd
Sandy Springs, GA 30328
Phone (404) 256-1507

3968 Felton Hill Rd SW
Ste 110
Smyrna, GA 30082

3968 Felton Hill Rd SW
Ste 100
Smyrna, GA 30082
Phone (678) 214-6960

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1942355458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 551420",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333551420",
            "telephone_number": "800-243-3839",
            "fax_number": "855-851-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MEDICAL CENTER BLVD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300467694",
            "telephone_number": "770-277-3056",
            "fax_number": "855-204-5244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "775 Poplar Rd Ste Ll20",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "302658306",
            "country_code": "US",
            "telephone_number": "770-253-1912",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1255 Highway 54 W",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "GA",
            "postal_code": "302144526",
            "country_code": "US",
            "telephone_number": "404-351-1745",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "745 Poplar Rd",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "302651618",
            "country_code": "US",
            "telephone_number": "770-400-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1938 Peachtree Rd NW",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303091267",
            "country_code": "US",
            "telephone_number": "678-216-0771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 Howell Mill Rd NW Ste 250",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303182593",
            "country_code": "US",
            "telephone_number": "404-537-4910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHAIY",
        "first_name": "SHIVANI",
        "middle_name": "RAJAT",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN167419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "690286696A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHIVANI",
            "last_name": "PATEL",
            "middle_name": "J.",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.