DR. JOHN A SHIVDAT (D.O.) – Emergency Medicine Physician, NPI 1376599746
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,513 EMERGENCY MEDICINE in GA
Loading map...
Provider Addresses for DR. JOHN A SHIVDAT (D.O.)
1074, Grand Oaks Glen Northwest, Marietta, Cobb County, Georgia, 30064, United States
MARIETTA, GA 300645423
Phone: (770) 424-0901
Fax: (727) 507-3618
Type: Mailing
Perry Hospital, 1120, Morningside Drive, Perry, Houston County, Georgia, 31069, United States
PERRY, GA 310692906
Phone: (478) 988-1706
Fax: (478) 988-1794
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $1,571.
Total Amount is formed as General ($1,571) + Research ($0) + Ownership ($0) = $1,571.
Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Inari Medical, Inc. ($1,571).
Total Amount
$1,571
General + Research + Ownership
Payments
8
Total payment records
General Amount
$1,571
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Inari Medical, Inc. | $1,571 |
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: 2007-09-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20040707000292 | I | Emergency Medicine | GA | TBD |
| I20070926000914 | I | Emergency Medicine | NJ | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 304 | 296 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 87 | 86 | $0 |
| 99291 | Critical care, first 30-74 minutes | 40 | 40 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 17 | 17 | $0 |
Insurance plans in this area (ZIP 30064)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | NJ | |
| Emergency Medicine | NJ | |
| Nurse Practitioner | NJ | |
| Emergency Medicine | NJ | |
| Emergency Medicine | NY | |
| - | NJ | |
| Pediatric Medicine, Emergency Medicine | NJ | |
| Emergency Medicine, Internal Medicine | NJ | |
| Emergency Medicine, Internal Medicine | NJ | |
| - | NY |
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.