| Provider / Organization | NPI | Date Certified |
|---|---|---|
| TRACY ELAINE SHAH | 1205025749 | 2023-11-10 |
Tracy E Shah [F] graduated in 2000 and primarily specializes in Nurse Practitioner.
Tracy Elaine Shah is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1205025749. Registration indicates Tracy Elaine Shah is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Family, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Family, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| PECOS ID | 5294813887 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Tracy Elaine Shah N.P. |
| Practice Office Address | 5670 PEACHTREE DUNWOODY RD STE 1100 ATLANTA, GA US |
| Practice Office Telephone | 4048512300 |
| Mailing Address | 2140 PEACHTREE RD NW STE 232 ATLANTA, GA 303091314 US |
| Business Telephone | 4042314431 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 2140 Peachtree Rd NW STE 232 | Atlanta, GA 303091314 | 4042314431 |
| Code | Practice | License No State |
|---|---|---|
| 363LF0000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Family All Other Specialties & Provider Types Nurse Practitioner Family Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | RN 105323 NP
GA |