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Active NPI 1205678554 Individual Practitioner Male Practitioner

Shayan Bagheri , PA-C

Physician Assistant • Cumming, GA

Professional Overview & Biography Verified Profile Summary

Shayan Bagheri, PA-C is a registered healthcare professional specializing in Physician Assistant in Cumming, GA. Practice services are available at 204 CANTON RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

204 Canton Rd

Cumming, GA 300402304

Telephone 7708865437
Associated Practice Facility / Clinic
🏢 Lakeside Pediatrics, Llc Facility NPI 1326317520

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Cumming, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.8 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
87 Specialists

Practicing in Cumming, GA (4726 Statewide)

Telehealth Adoption Rate
10.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-06-18
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Denise Vaz , C-PNP

Nurse Practitioner - Pediatrics

NPI 1225222524

Certified Pediatric Nurse Practitioner

NPI 1326017906

Doctor of Medicine (M.D.)

NPI 1548535800

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 08, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location June 08, 2024

Registered at 204 CANTON RD, CUMMING, GA 300402304 (Tel: 7708865437)

📍
Updated Business Mailing Address June 08, 2024

Registered at 204 CANTON RD, CUMMING, GA 300402304 (Tel: 7708865437)

👤
Provider Name / Credentials Updated June 08, 2024

Recorded as SHAYAN BAGHERI, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 08, 2024

Physician Assistant

🟢
Initial NPI Registration & Enumeration June 08, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205678554
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 08, 2024
Last Update: June 18, 2024
Sole Proprietor: Yes

Mailing Address

204 Canton Rd

Cumming, GA 300402304

Phone: 7708865437

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.