P Praxis·MD
● Active Type 1 · Individual

DR. Shaan Hemant Shah, M.D.

Radiology·MacOn, GA· NPI 1902002280 · Enumerated 2007 · 18 years on NPI
Shah is 1 of 47 radiology providers in MacOn and 1 of 1280 in Georgia.
NPI age
18 years
Enumerated 2007-06-25
Primary specialty
Radiology
Plus 2 subspecialties
Licensed in
GA, PA, MA
3 states
Status
Active
No deactivations on record
Last NPPES update
2026-01-12
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1280 active radiology providers in Georgia.

NPI age
18 years
≈ at median (19 yr)
State licenses
3 states
Top 78% — 21% of peers are multi-state
Subspecialties
1
In the 38% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-06Enumerated in NPPES
2007 2026

Where they practice

Practice location
350 Hospital Dr
MacOn, GA 312173838
📞 4787657000
Mailing address
2465 Red Wine Oak Dr
Braselton, GA 305177014
📞 2158404975

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
535 Jesse Jewell Pkwy Se Ste A
Gainesville, GA 305013772
📞 7705349729
Location 3
200 W Academy Street
Gainseville, GA 30501
📞 7702828820

Specialties

  • Radiology Primary
    A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
    GA license #73224MA license #240138 taxonomy 2085R0202X
  • Internal Medicine
    A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
    PA license #MT191658 taxonomy 207R00000X

Identifiers

TypeValueNotes
05 (GA) 003156534C
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 171 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new radiology provider has been added in MacOn in the last 180 days. See all →
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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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