NPI age
19 years
Enumerated 2007-03-02
● Active
Type 1 · Individual
Shangeetha Balakumar, MD
Balakumar is 1 of 147 family medicine providers in Marietta and 1 of 5448 in Georgia.
Primary specialty
Family Medicine
Plus 4 subspecialties
Licensed in
GA, WA, CO, SC, FL
5 states
Status
Active
No deactivations on record
Last NPPES update
2025-04-16
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 5448 active family medicine providers in Georgia.
NPI age
19 years
↑ 2 yr above median (17 yr)
State licenses
5 states
Top 87% — 12% of peers are multi-state
Subspecialties
0
26% of peers hold subspecialties
NPI lifetime · 2007 → 2026
2007-03Enumerated in NPPES
2007
2026
Where they practice
Practice location
280 Cobb Pkwy S Ste 60
Marietta, GA 300606531
Mailing address
1 Embarcadero Ctr Ste 1900
San Francisco, CA 941113723
Additional practice locations
1 secondary location on file with NPPES.
Location 2
10051 5th St N Ste 200
St Petersburg, FL 337022211
Specialties
-
Family Medicine PrimaryFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (FL) | 002442900 |
Multi-state credentialing: Licensed in 5 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 2 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.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.