SHANKAR KANDASWAMY (NPI# 1689657181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689657181 |
| Entity Type | Individual |
| Full Name | SHANKAR KANDASWAMY |
| Credential | M.D. |
| Practice Address |
775 Poplar Rd Suite 130 Newnan GA 30265-8300 |
| Practice Telephone | 7706836921 |
| Practice Fax Number | 7702546037 |
| Mailing Telephone | 7706836921 |
| Mailing Fax Number | 7702546037 |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2018-03-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
055530 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000973134O | 05 |
| Street Address |
775 POPLAR RD SUITE 130 |
| City | NEWNAN |
| State | GA |
| Zip Code | 30265-8300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033102454 | George Edgar Anderson | Obstetrics & Gynecology | 775 Poplar Rd, Suite 120, Newnan, GA 30265-8300 | 2005-08-31 |
| 1922558840 | Tiffany Freyermuth | Nurse Practitioner | 775 Poplar Rd, Suite 160, Newnan, GA 30265-8300 | 2016-10-04 |
| 1669840971 | Kacie Dingler | Nurse Practitioner | 775 Poplar Rd, Newnan, GA 30265-8300 | 2015-09-03 |
| 1346633963 | Newnan Plaza Pharmacy LLC | Pharmacy | 775 Poplar Rd, Suite 100, Newnan, GA 30265-8300 | 2015-03-05 |
| 1992127856 | Pediatric Associates of Newnan P.C. | Pediatrics | 775 Poplar Rd, Suite 150, Newnan, GA 30265-8300 | 2014-01-13 |
| 1801226725 | Cranford, Powell, and Morris Advanced Surgical Specialists LLC | Surgery | 775 Poplar Rd, Suite 350, Newnan, GA 30265-8300 | 2013-11-13 |
| 1083957724 | Jignesh C Patel | Pharmacist | 775 Poplar Rd, Suite #100, Newnan, GA 30265-8300 | 2013-04-01 |
| 1740527464 | The Plaza Pharmacy, LLC | Pharmacy | 775 Poplar Rd, Suite 100, Newnan, GA 30265-8300 | 2013-01-15 |
| 1336486588 | Freeman Pharmacy, LLC | Pharmacy | 775 Poplar Rd, Suite 100, Newnan, GA 30265-8300 | 2013-01-08 |
| 1790071728 | Jennifer Ashley Heavin | Nurse Practitioner | 775 Poplar Rd, Suite 150, Newnan, GA 30265-8300 | 2011-06-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265041537 | Shiva Bazargan | Pharmacist | 3116 Sr 34 West, Newnan, GA 30265 | 2020-07-23 |
| 1992322549 | Doctorsbeyond Inc. | Clinic/Center | 277 Skyview Court, Newnan, GA 30265 | 2020-06-30 |
| 1225652936 | Jerrica Conyers | Nurse Practitioner | 1635 Highwat 34 East Suite C, Newnan, GA 30265 | 2020-05-29 |
| 1982234688 | Morgan Elizabeth Bross | Physician Assistant | 1825 Ga- 34, Newnan, GA 30265 | 2020-01-22 |
| 1013553379 | Hopebridge LLC | Behavior Technician | 2147 Newnan Crossing Boulevard East, Newnan, GA 30265 | 2019-11-21 |
| 1518528116 | Stepping Stones Psychiatric Care LLC | Nurse Practitioner | 3025 Sharpsburg Mccullum Rd, Building B Suite 103, Newnan, GA 30265 | 2019-06-25 |
| 1356823363 | Stephen William Jacon | Specialist/Technologist | 29 Muirfield Court, Newnan, GA 30265 | 2018-09-05 |
| 1881176832 | Blueprint Psychiatry, LLC | Psychiatry & Neurology | 1601 Highway 34 E Ste A, Newnan, GA 30265 | 2018-09-05 |
| 1548790769 | Timothy Collins | Physical Therapist | 1755 Ga-34, Suite 1300, Rehab Department, Newnan, GA 30265 | 2017-06-20 |
| 1497289748 | Edible Health & Wellness,llc | Clinic/Center | 90f Glenda Trace Pmb 318, Newnan, GA 30265 | 2017-04-13 |
| Find all providers in zip 30265 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407267511 | Akshay Bhatnagar | Internal Medicine | 2301 Newnan Crossing Blvd E Ste 200, Newnan, GA 30265-2576 | 2014-05-12 |
| 1336123439 | Vijay M. Patel | Internal Medicine | 775 Poplar Rd, Suite 130, Newnan, GA 30265-8300 | 2005-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194337592 | Stefan Vincent Goldberg | Internal Medicine | 3239 Bolero Dr, Atlanta, GA 30341-5705 | 2020-08-18 |
| 1366064164 | Southeast Lung & Critical Care Specialists | Internal Medicine | 1745 City Circle Rd, Baxley, GA 31513-7059 | 2020-05-14 |
| 1205474954 | Tift Regional Health System, Inc | Internal Medicine | 1499 Kennedy Road, Suite A, Tifton, GA 31794-4177 | 2019-12-12 |
| 1659845790 | Frank J Demarco Jr Md LLC | Internal Medicine | 4465 Nelson Brogdon Blvd, Buford, GA 30518-3487 | 2019-01-11 |
| 1063915338 | Trident Pulmonary and Critical Care PC | Internal Medicine | 483 Upper Riverdale Rd Sw Ste E, Riverdale, GA 30274-2579 | 2018-03-13 |
| 1194235853 | Covenant Medical Group LLC | Internal Medicine | 3605 Sandy Plains Rd Ste 240-235, Marietta, GA 30066-3068 | 2017-10-09 |
| 1235659814 | Southeast Lung & Criticial Care Specialists, PC | Internal Medicine | 5356 Reynolds St Ste 303, Savannah, GA 31405-6018 | 2017-06-23 |
| 1619355427 | Southeast Lung & Critical Care Specialists, PC. | Internal Medicine | 400 Cedar St Ste 106, Candler County Hospital, Metter, GA 30439-3338 | 2015-05-13 |
| 1770989154 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 800 East 68th Street, Landmark Hospital, Savannah, GA 31405 | 2014-11-12 |
| 1912327263 | Middle Georgia Pulmonary, LLC | Internal Medicine | 2024 Watson Blvd, Bldg# 1, Warner Robins, GA 31093-3624 | 2014-04-24 |
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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.