● Active Type 1 · Individual

Shireen Haque, MD

Anesthesiology·Jasper, GA· NPI 1306036934 · Enumerated 2007 · 18 years on NPI

Haque is 1 of 4 anesthesiology providers in Jasper and 1 of 1712 in Georgia.

NPI age

18 years

Enumerated 2007-07-30

Primary specialty

Anesthesiology

Plus 2 subspecialties

Licensed in

GA, VA, NC

3 states

Status

Active

No deactivations on record

Last NPPES update

2021-12-29

Source: monthly bulk 2026-05

Sole proprietor

May be part of a larger org

How this provider compares

Across 1712 active anesthesiology providers in Georgia.

NPI age

18 years

≈ at median (18 yr)

State licenses

3 states

Top 82% — 17% of peers are multi-state

Subspecialties

37% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-07Enumerated in NPPES

2007 2026

Where they practice

Practice location

1266 Highway 515 S

Jasper, GA 301434872

📞 7063015434fax 7063015438

Mailing address

1300 Ridenour Blvd Nw Ste 300

Kennesaw, GA 301524402

📞 7077021806fax 7076930801

Specialties

Allopathic & Osteopathic Physicians › Anesthesiology

Anesthesiology Primary

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk...

GA license #73579VA license #0101252856NC license #201100645 taxonomy 207L00000X

Identifiers

Type	Value	Notes
05 (NC)	5918210
05 (LA)	1000744
05 (NC)	NC1944A
05 (SC)	NC1473
05 (VA)	1306036934

Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 22 other active providers share this practice address in NPPES.

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How to verify this provider

Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
Check the state license is currently active.State licensing boards publish current status; NPPES does not.
Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.