P Praxis·MD
● Active Type 1 · Individual

Shaanan Satish Shetty, MD

Dermatology·Roswell, GA· NPI 1346503810 · Enumerated 2012 · 13 years on NPI
Shetty is 1 of 20 dermatology providers in Roswell and 1 of 483 in Georgia.
NPI age
13 years
Enumerated 2012-06-20
Primary specialty
Dermatology
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-11-02
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 483 active dermatology providers in Georgia.

NPI age
13 years
↓ 5 yr below median (18 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
33% of peers hold subspecialties

NPI lifetime · 2012 → 2026

2012-06Enumerated in NPPES
2012 2026

Where they practice

Practice location
1265 Upper Hembree Rd Ste 100
Roswell, GA 300761258
📞 7707511133fax 7707517410
Mailing address
1265 Upper Hembree Rd Ste 100
Roswell, GA 300761258
📞 7707511433fax 7707517410

Additional practice locations

1 secondary location on file with NPPES.

Location 2
327 Dahlonega St Ste 1501
Cumming, GA 300408203
📞 7708441902fax 7702053991

Specialties

  • Dermatology Primary
    A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The...
    GA license #075374 taxonomy 207N00000X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

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

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