ANAND T SHANTHA (NPI# 1225047301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225047301 |
| Entity Type | Individual |
| Full Name | ANAND T SHANTHA |
| Credential | M.D. |
| Practice Address |
119 N Park Trl Stockbridge GA 30281-7373 |
| Mailing Address |
1930 Brannan Rd Mcdonough GA 30253-4310 |
| Practice Telephone | 7703893739 |
| Practice Fax Number | 7703896565 |
| Mailing Telephone | 6782844040 |
| Mailing Fax Number | 6782844076 |
| Enumeration Date | 2006-08-06 |
| Last Update Date | 2015-01-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 050677 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | DEA | BS6703309 | 01 |
| GA | RAILROAD MEDICARE | 340020189 | 01 |
| GA | 000972804A | 05 |
| Street Address |
119 N PARK TRL |
| City | STOCKBRIDGE |
| State | GA |
| Zip Code | 30281-7373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053936765 | Every Woman's Ob-gyn LLC | Obstetrics & Gynecology | 119 N Park Trl, Stockbridge, GA 30281-7373 | 2020-06-09 |
| 1407071699 | Georgia Urology Pa | Urology | 119 N Park Trl, Stockbridge, GA 30281-7373 | 2007-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039095 | Colette Alls | Social Worker | 447 Lakeshore Dr, Stockbridge, GA 30281 | 2020-09-24 |
| 1982216800 | Pediatric and Family Behavioral Health of Georgia | Counselor | 1004 Ulster Court, Stockbridge, GA 30281 | 2020-08-21 |
| 1518577659 | Qunique Taveka Toxey | Behavior Technician | 115 N Park Trail, Suite 123, Stockbridge, GA 30281 | 2020-08-04 |
| 1497377675 | Melanie Harvey | Pharmacist | 4467 North Henry Boulevard, Stockbridge, GA 30281 | 2020-05-11 |
| 1114550571 | Cecile Maria Dunkley Layne | Counselor | 255 Corporte Drive, Stockbridge, GA 30281 | 2020-02-13 |
| 1306407143 | Palliative Care of Georgia. LLC | Home Health | 275 Corporate Center Court Ste C, Stockbridge, GA 30281 | 2019-06-24 |
| 1154883791 | Aaliyah Nura Fardan-alexander | Nurse's Aide | 105 Singletree, Stockbridge, GA 30281 | 2019-04-02 |
| 1306306261 | Prosthetic Care, Inc. | Prosthetic/Orthotic Supplier | 150 County Club Drive, Suite 200, Stockbridge, GA 30281 | 2019-03-25 |
| 1356814172 | Kristina Louissaint | Nurse Practitioner | 650 Country Club Dr, Stockbridge, GA 30281 | 2019-01-03 |
| 1942789284 | Cameren Barnes | Physical Therapist | 5473 N Henry Blvd, Stockbridge, GA 30281 | 2018-08-08 |
| Find all providers in zip 30281 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265850465 | Saneal Rajanahally | Urology | 290 Country Club Dr Ste 100, Stockbridge, GA 30281-9069 | 2014-04-03 |
| 1841284718 | George W Jabren | Urology | 290 Country Club Dr, Ste 100, Stockbridge, GA 30281-9069 | 2005-09-07 |
| 1275737066 | Alienor Sylvaine Gilchrist | Urology | 290 Country Club Dr, Suite 100, Stockbridge, GA 30281-9069 | 2007-06-13 |
| 1407071699 | Georgia Urology Pa | Urology | 119 N Park Trl, Stockbridge, GA 30281-7373 | 2007-04-15 |
| 1326146507 | James Morris Libby | Urology | 290 Country Club Dr, Suite 100, Stockbridge, GA 30281-9069 | 2006-09-20 |
| 1265530497 | Varon Alexander Garcias | Urology | 290 Country Club Dr, Suite 100, Stockbridge, GA 30281-9069 | 2006-09-20 |
| 1033217252 | James Van Eaton | Urology | 290 Country Club Dr, Suite 100, Stockbridge, GA 30281-9069 | 2006-09-20 |
| 1013015247 | Mauro Folgosa | Urology | 290 Country Club Dr, Suite 100, Stockbridge, GA 30281-9069 | 2006-09-20 |
| 1518065754 | Orlando F Lopez | Urology | 290 Country Club Dr, Suite 100, Stockbridge, GA 30281-9069 | 2006-09-20 |
| 1942278874 | Benjamin C Lee | Urology | 290 Country Club Dr, Suite 100, Stockbridge, GA 30281-9069 | 2006-03-08 |
| Find all providers in STOCKBRIDGE | ||||
| City | STOCKBRIDGE |
| Zip Code | 30281 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.