P Praxis·MD
● Active Type 1 · Individual

Issam Shaker, M.D.

Surgery·MacOn, GA· NPI 1356317598 · Enumerated 2006 · 20 years on NPI
Shaker is 1 of 3 surgery providers in MacOn and 1 of 36 in Georgia.
NPI age
20 years
Enumerated 2006-02-27
Primary specialty
Surgery
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-09-09
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 36 active surgery providers in Georgia.

NPI age
20 years
≈ at median (19 yr)
State licenses
1 state
19% of peers hold multiple states
Subspecialties
1
In the 33% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-02Enumerated in NPPES
2006 2026

Where they practice

Practice location
840 Pine St Ste 510
MacOn, GA 312017530
📞 4786338383fax 4786338390
Mailing address
840 Pine St Ste 510
MacOn, GA 312017530
📞 4786338383fax 4786338390

Specialties

  • Surgery Primary
    A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
    GA license #017883 taxonomy 2086S0120X
  • Pediatrics
    A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
    GA license #017883 taxonomy 208000000X

Practice context

Part of a multi-provider practice. 4 other active providers share 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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