Individual provider Active NPI

Sharon Elizabeth Shaji

  • Family Medicine Physician
  • Marietta, GA
National Provider Identifier
1942938220
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
13009 Issued in GA
Practice address
2520 Windy Hill Rd SE Ste 301
Marietta, GA 30067-8695
Phone
(770) 952-1032
NPI assigned
Aug 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 13009 GA Primary

Addresses

Primary practice location

2520 Windy Hill Rd SE Ste 301
Marietta, GA 30067-8695

Mailing address

2520 Windy Hill Rd SE Ste 301
Marietta, GA 30067-8695
Phone (770) 952-1032

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251111000046 GA Practitioner - Physician Assistant 4082104740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Univeristy of Texas Rio Grande Valley Med School, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

132 Matson Run SW
Mableton, GA 30126-4112

PO Box
Suite 3726
Augusta, GA 30914-3726

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13009GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urban Family Practice Associates, P.C. Family Medicine CurrentSince Oct 28, 2025 Accepting new patients
Urban Family Practice Current Accepting new patients

Locations

2520 Windy Hill Rd SE
Ste 301
Marietta, GA 30067
Phone (770) 952-1032

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1660262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1942938220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 WINDY HILL RD SE STE 301",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678695",
            "telephone_number": "770-952-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 WINDY HILL RD SE STE 301",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678695",
            "telephone_number": "770-952-1032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAJI",
        "first_name": "SHARON",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-12",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "13009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.