JIGISH G SHETH (DO) – Obstetrics & Gynecology Physician, NPI 1720002983

Obstetrics & Gynecology Physician

JIGISH G SHETH (DO) is a healthcare provider. based in Roswell, Georgia. specializing in Obstetrics & Gynecology Physician. They hold the professional credentials DO. They hold a License No. 036116515 (IL). The NPI Number for JIGISH G SHETH (DO) is 1720002983

Main info

Male

24 Years Of Experience

Name

JIGISH G SHETH (DO)

NPI

1720002983

Phone

(678) 722-8930

Address

960 Holcomb Bridge Rd

Enumeration Date

27 July 2006

Last Update Date

5 May 2023

Doctor Profile

Medical School Name

NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY

Secondary Phone

4047668371

Graduation Year

2002 (24 years ago)

PAC ID

0345248340

Group Practice PAC ID

3173512126

Professional Enrollment ID

I20190110003524

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience71

Completeness75

Years active:19State licenses:2Digital endpointsOther names

Provider Addresses for JIGISH G SHETH (DO)

960 Holcomb Bridge Rd
Roswell, GA 300761963
Phone: (678) 722-8930
Type: Location
3855 Johns Creek Pkwy
Suwanee, GA 300241293
Phone: (700) 521-2229
Fax: (770) 521-2231
Type: Location
1015 MANSELL RD
ROSWELL, GA 300761507
Phone: (770) 521-2229
Fax: (770) 521-2231
Type: Mailing
Portage, Box Elder County, Utah, 84331, United States
PORTAGE, IN 463689230
Phone: (219) 763-8112
Fax: (219) 764-5380
Type: Mailing
3564, Scottsdale Street, Portage, Porter County, Indiana, 46368, United States
PORTAGE, IN 463685420
Phone: (219) 763-8112
Fax: (219) 764-5380
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: 2019-01-10

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

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
I20190110003524	I	Obstetrics/Gynecology	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.

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 30076)

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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: 3173512126View full group profile