SHALYN B AHMADI (P.A.) – Physician Assistant, NPI 1629051263

SHALYN B AHMADI (P.A.) is a healthcare provider. based in Alpharetta, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. 003389 (GA). The NPI Number for SHALYN B AHMADI (P.A.) is 1629051263

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
SHALYN B AHMADI (P.A.)
NPI
1629051263
Phone
(770) 442-1911
Address
3400 OLD MILTON PKWY
Enumeration Date
29 November 2005
Last Update Date
9 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7704421911
Graduation Year
1999 (27 years ago)
PAC ID
8527036680
Group Practice PAC ID
3577559673
Professional Enrollment ID
I20040917000376
Address ID
GA300246038SU4235XPKWY401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

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Provider Addresses for SHALYN B AHMADI (P.A.)

  • Old Milton Parkway, Alpharetta, Fulton, Georgia, 30005, United States

    SUITE 270

    ALPHARETTA, GA 300053707

    Phone: (770) 442-1911

    Fax: (770) 663-8905

    Type: Location

  • 4235 JOHNS CREEK PKWY STE A

    SUWANEE, GA 300246038

    Phone: (678) 402-9550

    Fax: (678) 802-5765

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 173 Open Payments records for all available years, with a total value of $3,326.

Total Amount is formed as General ($3,326) + Research ($0) + Ownership ($0) = $3,326.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Novo Nordisk Inc ($427).

Total Amount

$3,326

General + Research + Ownership

Payments

173

Total payment records

General Amount

$3,326

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2004-09-17

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
I20040917000376IPhysician AssistantGATBD

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 30005)

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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: 3577559673View full group profile
NameSpecialtyState
-GA
Physician AssistantGA
Nurse PractitionerGA
Family PracticeGA
Family PracticeGA
Family PracticeGA
Internal MedicineTN
Internal MedicineGA
Cardiovascular Disease (Cardiology)GA
Internal MedicineGA

Reviews

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Frequently asked questions

Is there an official ID for SHALYN B AHMADI (P.A.) in U.S. healthcare records?
The official identifier for SHALYN B AHMADI (P.A.) is NPI 1629051263.
Is SHALYN B AHMADI (P.A.) still an active registrant?
SHALYN B AHMADI (P.A.) carries an active NPI according to the public dataset.
What area of care is associated with SHALYN B AHMADI (P.A.)?
SHALYN B AHMADI (P.A.)'s record emphasizes Physician Assistant. Clinical services aligned with this taxonomy classification.
Is SHALYN B AHMADI (P.A.) associated with Alpharetta?
Public fields place SHALYN B AHMADI (P.A.) around Alpharetta, Georgia. Always confirm the exact site before visiting.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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