Shafi Amir Qureshi

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

1-180731 Issued in AL

Practice address

300 Prime PT Ste 201
Peachtree City, GA 30269-6851

Phone

(770) 337-0482

NPI assigned

Feb 8, 2022

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

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Inner Community Health

  • Psychiatry Physician
  • Duluth, GA
  • NPI 1891398541

  GA

  Medicare reassignment NPD
• Shailesh Patel MD LLC

  • Psychiatry Physician
  • Peachtree City, GA
  • NPI 1669765467
  NPD (past)

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1972257012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PRIME PT STE 201",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302696851",
            "telephone_number": "770-337-0482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PRIME PT STE 201",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302696851",
            "telephone_number": "770-337-0482"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3995 S Cobb Dr SE",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "GA",
            "postal_code": "300806342",
            "country_code": "US",
            "telephone_number": "770-337-0482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QURESHI",
        "first_name": "SHAFI",
        "middle_name": "AMIR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-08",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1-180731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003353721A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Publix Super Markets Inc
• Publix Super Markets Inc
• Tiffany Sue Quick, PHARMD
• Jennifer Nichole Quigley, PTA
• Ty Quint, PA-C
• Rac Clinical Trials & Research Ctr, Inc.
• Megan Rainey, APC
• Range Rehab LLC
• Morgan Suzanne Rapp, DDS
• Anne M. Rasche, LAPC

• All providers in Peachtree City, GA
• Psychiatric/Mental Health Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.
• 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.