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PARTH PRADIP SHETH MD
NPI 1184114837
Psychiatry & Neurology - Neurology in Atlanta, GA

Active since May 17, 2018PECOS EnrolledAccepts Medicare Assignment
1968 PEACHTREE RD NW, ATLANTA, GA 30309(470) 788-1010 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 28, 2023, Jul 25, 2022, May 17, 2018 (3 updates tracked since 2018).

About Parth Pradip Sheth Md NPPES

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

PARTH PRADIP SHETH MD (NPI 1184114837) is an individual neurology provider in Atlanta, Georgia, licensed in Georgia (95936) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Piedmont Hospital, and is a graduate of East Tennessee State University Quillen College Of Medicine (2018).

NPPES Registry Identity

NPI1184114837
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NamePARTH PRADIP SHETHCredential: MD
Location Address1968 PEACHTREE RD NWAtlanta, GA 30309-1281
Mailing AddressUva Neurology Department, 1221 Lee St, 4th FloorCharlottesville, VA 22903 · (434) 924-2706 · Fax (803) 545-6051
Phone(470) 788-1010
Sole ProprietorNo
Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 2018
Enumeration DateMay 17, 2018
Last NPPES UpdateAugust 28, 20233 updates tracked since enumeration
NPPES CertifiedAugust 28, 2023
✔ NPI 1184114837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in GA · 95936✔ Licensed in SC · LL52352✔ Licensed in VA · 0101274059
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1968 PEACHTREE RD NW, Atlanta, GA 30309
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Parth Pradip Sheth Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729325089
PECOS Enrollment IDI20230824002376
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
215 services125 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
93 services93 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
24 services19 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
15 services15 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Piedmont Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110083
Location1968 Peachtree Rd NWAtlanta, GA 30309 · Fulton County
Emergency services Birthing friendly

Piedmont Rockdale Hospital

Acute Care Hospitals · Conyers, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110091
Location1412 Milstead Avenue, NEConyers, GA 30012 · Rockdale County
Birthing friendly

Piedmont Henry Hospital

Acute Care Hospitals · Stockbridge, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110191
Location1133 Eagle's Landing ParkwayStockbridge, GA 30281 · Henry County
Emergency services Birthing friendly

Piedmont Fayette Hospital

Acute Care Hospitals · Fayetteville, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110215
Location1255 Highway 54 WestFayetteville, GA 30214 · Fayette County
Emergency services Birthing friendly

Piedmont Newnan Hospital, Inc

Acute Care Hospitals · Newnan, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110229
Location745 Poplar RoadNewnan, GA 30265 · Coweta County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30309 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

TRACY PURCELL NICHOLAS NP
Nurse Practitioner (Acute Care)
1968 PEACHTREE RD NW, PIEDMONT HOSPITAL TRANSPLANT SERVICES
ATLANTA, GA 30309
Fulton County (404) 605-4602
JINAL ACHYUTKUMAR KHAMAR CAA
Anesthesiology
1968 PEACHTREE RD NW
ATLANTA, GA 30309
Fulton County (404) 605-5000
BRITTANY R BARRON
Nurse Anesthetist, Certified Registered
1968 PEACHTREE RD NW
ATLANTA, GA 30309
Fulton County (404) 451-0960
ELIZABETH ELOISE COTTEN PA-C
Physician Assistant
1968 PEACHTREE RD NW
ATLANTA, GA 30309
Fulton County (404) 367-3014
DEBORA LOU COURSEY-PRAH MD
Radiology (Diagnostic Radiology)
1968 PEACHTREE RD NW, RADIOLOGY DEPARTMENT
ATLANTA, GA 30309
Fulton County (404) 605-5000
CAROLINE MCCOY ANP-BC
Nurse Practitioner (Adult Health)
1968 PEACHTREE RD NW, BUILDING 77, 5TH FLOOR
ATLANTA, GA 30309
Fulton County (404) 605-4358
CHARITA MERCHANT CRNA
Nurse Anesthetist, Certified Registered
1968 PEACHTREE RD NW
ATLANTA, GA 30309
Fulton County (678) 216-0771
TAYLOR JONES PA-C
Physician Assistant
1968 PEACHTREE RD NW
ATLANTA, GA 30309
Fulton County (470) 788-1010

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 Parth Sheth's NPI number?

The NPI number for Parth Sheth is 1184114837. It was assigned to this individual provider in the NPPES registry on May 17, 2018.

Where is Parth Sheth located?

Parth Sheth practices at 1968 Peachtree Rd NW, Atlanta, GA 30309. The listed phone number is (470) 788-1010.

What is Parth Sheth's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Parth Sheth enrolled in Medicare?

Yes. Parth Sheth is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Parth Sheth accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Parth Sheth as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Parth Sheth affiliated with any hospitals?

According to CMS data, Parth Sheth is affiliated with Piedmont Hospital, Piedmont Rockdale Hospital, Piedmont Henry Hospital, Piedmont Fayette Hospital and Piedmont Newnan Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Parth Sheth was last updated on August 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.