SHANE RAVI MAHABIR DO
NPI 1073000337
Psychiatry & Neurology - Child & Adolescent Psychiatry in Decatur, GA

Q: What is Shane Mahabir's NPI number?

The NPI number for Shane Mahabir is 1073000337. It was assigned to this individual provider in the NPPES registry on April 21, 2018.

Q: What is Shane Mahabir's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: When was this NPI record last updated?

The NPPES record for Shane Mahabir was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 21, 2018PECOS Enrolled

445 WINN WAY FL 2, DECATUR, GA 30030(404) 294-3836 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 6, 2025, Aug 20, 2020, Apr 21, 2018 (3 updates tracked since 2018).

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About Shane Ravi Mahabir Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANE RAVI MAHABIR DO (NPI 1073000337) is an individual child & adolescent psychiatry provider in Decatur, Georgia, licensed in Georgia (102892) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and is a graduate of Rowan University School Of Osteopathic Medicine (2018).

NPPES Registry Identity

NPI1073000337

Entity TypeIndividualMale

Primary Taxonomy2084P0804X

Provider Legal NameSHANE RAVI MAHABIRCredential: DO

Location Address445 WINN WAY FL 2Decatur, GA 30030-1707

Mailing Address445 Winn WayDecatur, GA 30030-1707 · (404) 892-4646

Phone(404) 294-3836

Sole ProprietorNo

Medical School CMSRowan University School Of Osteopathic MedicineGraduated 2018

Enumeration DateApril 21, 2018

Last NPPES UpdateNovember 6, 20253 updates tracked since enumeration

NPPES CertifiedNovember 6, 2025

✔ NPI 1073000337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in GA · 102892

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

445 WINN WAY FL 2, Decatur, GA 30030

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Other Identifiers 1

Medicaid1073000337GA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shane Ravi Mahabir Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880188614

PECOS Enrollment IDI20251210000392

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEATHER JONAS LMSW

Counselor