TRACY ELAINE SHAH (N.P.) – Family Nurse Practitioner, NPI 1205025749

TRACY ELAINE SHAH (N.P.) is a healthcare provider. based in Atlanta, Georgia. specializing in Family Nurse Practitioner. They hold the professional credentials N.P.. They hold a License No. RN 105323 NP (GA). The NPI Number for TRACY ELAINE SHAH (N.P.) is 1205025749

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
TRACY ELAINE SHAH (N.P.)
NPI
1205025749
Phone
(404) 231-4431
Address
2140 Peachtree Rd NW
Enumeration Date
22 October 2007
Last Update Date
10 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4043523300
Graduation Year
2000 (26 years ago)
PAC ID
5294813887
Group Practice PAC ID
7012903800
Professional Enrollment ID
I20080423000004
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

Provider Addresses for TRACY ELAINE SHAH (N.P.)

  • 2140 Peachtree Rd NW

    STE 232

    Atlanta, GA 303091314

    Phone: (404) 231-4431

    Type: Location

  • Peachtree Road, Brookwood, Atlanta, Georgia, 30363, United States

    STE 232

    ATLANTA, GA 303091314

    Phone: (404) 231-4431

    Type: Location

  • 5670 PEACHTREE DUNWOODY RD STE 1100

    ATLANTA, GA 303424795

    Phone: (404) 851-2300

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $23.

Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.

Last reported payment date: 2023-10-12 • Largest payer in this snapshot: Janssen Biotech, Inc. ($23).

Total Amount

$23

General + Research + Ownership

Payments

1

Total payment records

General Amount

$23

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Janssen Biotech, Inc.$23
View all Open Payments →|Open Payments Risk Radar →

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: 2008-04-23

PECOS data refreshed: 2026-05-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080423000004INurse PractitionerGATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30309)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012903800View full group profile
NameSpecialtyState
N E P H R O L O G YGA
N E P H R O L O G YNY
Internal MedicineGA
Internal MedicineNM
N E P H R O L O G YGA
N E P H R O L O G YGA
Nephrology, Internal MedicineGA
N E P H R O L O G YGA
N E P H R O L O G YGA
N E P H R O L O G YGA

Reviews

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Frequently asked questions

Can I use this page to confirm TRACY ELAINE SHAH (N.P.)'s NPI?
Yes. TRACY ELAINE SHAH (N.P.) is listed with NPI 1205025749 in the public NPI dataset.
Is TRACY ELAINE SHAH (N.P.) listed as active for patients and plans?
The listing shows TRACY ELAINE SHAH (N.P.) as active in the NPI system.
What taxonomy line describes TRACY ELAINE SHAH (N.P.)?
For research purposes, treat TRACY ELAINE SHAH (N.P.) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for TRACY ELAINE SHAH (N.P.)?
TRACY ELAINE SHAH (N.P.)'s geographic hint is Atlanta, Georgia in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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