PRIYA GULATI SHAH (M.D.) – Family Medicine Physician, NPI 1154716405
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,117 FAMILY PRACTICE in GA
Provider Addresses for PRIYA GULATI SHAH (M.D.)
2200 HIGHWAY 155 N STE 200
MCDONOUGH, GA 302524846
Phone: (770) 268-4011
Fax: (770) 914-7703
Type: Mailing
2200 HIGHWAY 155 N
MCDONOUGH, GA 30252
Phone: (678) 490-0341
Fax: (678) 490-0349
Type: Location
3333 RIVERWOOD PKWY SE STE 250
ATLANTA, GA 303393304
Phone: (770) 914-0116
Fax: (770) 955-4278
Type: Mailing
204 DAWSON VILLAGE WAY S
DAWSONVILLE, GA 305345629
Phone: (770) 268-4360
Fax: (470) 251-6066
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $89.
Total Amount is formed as General ($89) + Research ($0) + Ownership ($0) = $89.
Last reported payment date: 2024-08-13 • Largest payer in this snapshot: Baxter Healthcare ($59).
Total Amount
$89
General + Research + Ownership
Payments
2
Total payment records
General Amount
$89
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Baxter Healthcare | $59 |
| GlaxoSmithKline, LLC. | $31 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-09-14
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180914002609 | I | Family Practice | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 681 | 111 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 355 | 238 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 339 | 229 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 319 | 223 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 298 | 35 | $0 |
Insurance plans in this area (ZIP 30252)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | GA | |
| Family Practice | LA | |
| Family Practice | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| - | GA | |
| - | GA | |
| Nurse Practitioner | GA | |
| - | GA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.