SHIRA AMDUR (M.D.) – Hospice and Palliative Medicine (Internal Medicine) Physician, NPI 1467728345

SHIRA AMDUR (M.D.) is a healthcare provider. based in Austell, Georgia. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. Q5963 (TX). The NPI Number for SHIRA AMDUR (M.D.) is 1467728345

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
SHIRA AMDUR (M.D.)
NPI
1467728345
Phone
(770) 793-7899
Address
3950 AUSTELL RD
Enumeration Date
26 March 2012
Last Update Date
3 October 2019

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Secondary Phone
7704248222
Graduation Year
2012 (14 years ago)
PAC ID
6002041258
Group Practice PAC ID
6709065402
Professional Enrollment ID
I20190408002065
Address ID
GA301527742KE5150XRDXX501

Contacts

Secure Messaging
samdur311499@directwellstar.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:14State licenses:2Other namesUpdated within 12 months

5,405 INTERNAL MEDICINE in GA

Provider Addresses for SHIRA AMDUR (M.D.)

  • 3950 AUSTELL RD

    AUSTELL, GA 30106

    Phone: (770) 793-7899

    Type: Location

  • 2727 W Holcombe Blvd

    Houston, TX 770251669

    Phone: (713) 442-0000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2019-04-08

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161003001125IInternal MedicineTXTBD
I20190408002065IInternal MedicineGATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes15295$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes122118$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes8559$0
99497Advance care planning, first 30 minutes2424$0
View full utilization report →

Insurance plans in this area (ZIP 30106)

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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: 6709065402View full group profile
NameSpecialtyState
-GA
-GA
-GA
R H E U M A T O L O G YMI
Hospitalist, Internal MedicineGA
Nurse PractitionerTN
Family PracticeGA
Physician AssistantGA
Physician AssistantGA
Hospitalist, Internal MedicineGA

Reviews

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Frequently asked questions

What number should I use to identify SHIRA AMDUR (M.D.) for billing?
Administrative and clinical systems typically use NPI 1467728345 for SHIRA AMDUR (M.D.).
Does the public listing show SHIRA AMDUR (M.D.) as active?
SHIRA AMDUR (M.D.)'s NPI record reflects an active status in NPPES.
What services align with SHIRA AMDUR (M.D.)'s listing?
SHIRA AMDUR (M.D.)'s public classification highlights Hospice and Palliative Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
Can patients visit SHIRA AMDUR (M.D.) in Austell, Georgia?
For routing, start with Austell, Georgia for SHIRA AMDUR (M.D.), then verify phone and hours locally.
Who maintains SHIRA AMDUR (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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