Shifa Ali Shah, NP
Nurse Practitioner, Acute Care in Atlanta, GA. Individual provider (NPI-1).
NPI number1245094697
StatusActive
Last updated in NPPESOct 16, 2025
Details
- NPI
- 1245094697
- Entity type
- Individual (NPI-1)
- Name
- Shifa Ali Shah
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 7, 2024
- Certification date
- Oct 16, 2025
- Last updated
- Oct 16, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2100X | Nurse Practitioner, Acute Care | RN283970 | GA | Yes |
| 207R00000X | Internal Medicine | RN283970 | GA |
Practice location
1364 Clifton Rd NeAtlanta, GA 30322-1059
Phone 404-712-2000
Mailing address
1290 Old Peachtree Rd Apt 4101Duluth, GA 30097-5326
Phone 678-677-1999
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