P Praxis·MD
● Active Type 1 · Individual

Edan Shapiro, MD

Urology·Fayetteville, GA· NPI 1407090459 · Enumerated 2009 · 17 years on NPI
Shapiro is 1 of 11 urology providers in Fayetteville and 1 of 563 in Georgia.
NPI age
17 years
Enumerated 2009-04-21
Primary specialty
Urology
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2015-06-19
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 563 active urology providers in Georgia.

NPI age
17 years
≈ at median (18 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
22% of peers hold subspecialties

NPI lifetime · 2009 → 2026

2009-04Enumerated in NPPES
2009 2026

Where they practice

Practice location
1336 Highway 54 W, Bldg 200
Fayetteville, GA 302144535
📞 7704609777fax 7704600650
Mailing address
1930 Brannan Rd
McDonough, GA 302534310
📞 6782844040fax 6782844076

Specialties

  • Urology Primary
    A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of...
    GA license #73486 taxonomy 208800000X

Practice context

Part of a multi-provider practice. 11 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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