DOUGLAS MEDICAL GROUP
NPI 1104886316
Specialist in Douglasville, GA

Active since March 23, 2006
6025 PROFESSIONAL PKWY, SUITE 200, DOUGLASVILLE, GA 30134(770) 949-0555(770) 949-4424 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Douglas Medical Group NPPES

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

DOUGLAS MEDICAL GROUP (NPI 1104886316), doing business as Shroff And Desai, M. D., P. C., is a healthcare organization registered as a specialist in Douglasville, Georgia and active in the NPI registry since March 2006. The organization lists Girish I Shroff, President, as its authorized official.

NPPES Registry Identity

NPI1104886316
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameDOUGLAS MEDICAL GROUP
Location Address6025 PROFESSIONAL PKWY, SUITE 200Douglasville, GA 30134-5609
Mailing Address6025 Professional Pkwy, Suite 200Douglasville, GA 30134-5609 · (770) 949-0555 · Fax (770) 949-4424
Fax(770) 949-4424
Organization SubpartNo
Authorized OfficialGirish I ShroffPresident · (770) 949-0555
Enumeration DateMarch 23, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1104886316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Licenses Licensed in GA · 019103 Licensed in GA · 027530 Licensed in GA · 038955 Licensed in GA · RN070145
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
6025 PROFESSIONAL PKWY, Douglasville, GA 30134

Other Names 1

Former Legal Business NameShroff And Desai, M. D., P. C.

Other Identifiers 1

Medicaid00305302BGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

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

Nurse Practitioner
6025 PROFESSIONAL PKWY, SUITE 200
DOUGLASVILLE, GA 30134
Nurse Practitioner
6025 PROFESSIONAL PKWY
DOUGLASVILLE, GA 30134
Internal Medicine
6025 PROFESSIONAL PKWY, SUITE 200
DOUGLASVILLE, GA 30134
Internal Medicine
6025 PROFESSIONAL PKWY, SUITE 200
DOUGLASVILLE, GA 30134
Nurse Practitioner
6025 PROFESSIONAL PKWY, SUITE 200
DOUGLASVILLE, GA 30134
Hospice Care, Community Based
6025 PROFESSIONAL PKWY, SUITE 300B
DOUGLASVILLE, GA 30134
Internal Medicine
6025 PROFESSIONAL PKWY, SUITE 200
DOUGLASVILLE, GA 30134
Internal Medicine
6025 PROFESSIONAL PKWY, SUITE 102
DOUGLASVILLE, GA 30134

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Douglas Medical Group's NPI number?

The NPI number for Douglas Medical Group is 1104886316. It was assigned to this organization in the NPPES registry on March 23, 2006. The provider was formerly known as Shroff And Desai, M. D., P. C..

Where is Douglas Medical Group located?

Douglas Medical Group is located at 6025 Professional Pkwy Suite 200, Douglasville, GA 30134. The listed phone number is (770) 949-0555.

What is Douglas Medical Group's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Douglas Medical Group was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.