NPI age
20 years
Enumerated 2006-05-26
● Active
Type 1 · Individual
DR. John A Shivdat, D.O.
Shivdat is 1 of 4 emergency medicine providers in Perry and 1 of 1991 in Georgia.
Primary specialty
Emergency Medicine
Plus 1 subspecialty
Licensed in
NJ, GA
2 states
Status
Active
No deactivations on record
Last NPPES update
2023-03-03
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 1991 active emergency medicine providers in Georgia.
NPI age
20 years
↑ 3 yr above median (17 yr)
State licenses
2 states
Top 79% — 20% of peers are multi-state
Subspecialties
0
41% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-05Enumerated in NPPES
2006
2026
Where they practice
Practice location
1120 Morningside Dr
Perry, GA 310692906
Mailing address
1074 Grand Oaks Gln Nw
Marietta, GA 300645423
Specialties
-
Emergency Medicine PrimaryAn emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department....
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (NJ) | 6848109 | |
| 01 (NJ) | P00630321 | MEDICARE RAILROAD |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 17 other active providers share this practice address in NPPES.
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- 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.
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