P Praxis·MD
● Active Type 1 · Individual

DR. Jack Shen JR., M.D., M.B.S.

Psychiatry & Neurology·Roswell, GA· NPI 1639523574 · Enumerated 2016 · 10 years on NPI
Shen is 1 of 8 psychiatry & neurology providers in Roswell and 1 of 681 in Georgia.
NPI age
10 years
Enumerated 2016-04-18
Primary specialty
Psychiatry & Neurology
Plus 2 subspecialties
Licensed in
GA, OH
2 states
Status
Active
No deactivations on record
Last NPPES update
2022-08-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 681 active psychiatry & neurology providers in Georgia.

NPI age
10 years
↓ 7 yr below median (17 yr)
State licenses
2 states
Top 81% — 18% of peers are multi-state
Subspecialties
1
In the 35% of peers with subspecialties

NPI lifetime · 2016 → 2026

2016-04Enumerated in NPPES
2016 2026

Where they practice

Practice location
2500 Hospital Blvd Ste 440
Roswell, GA 300764919
📞 7706634649
Mailing address
2500 Hospital Blvd Ste 440
Roswell, GA 300764919
📞 7706634649

Specialties

  • Psychiatry & Neurology Primary
    A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
    GA license #92491OH license #35.138941 taxonomy 2084N0400X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

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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