SHAHIN ETEBAR MD
NPI 1194721308
Neurological Surgery in Columbus, GA
About Shahin Etebar Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAHIN ETEBAR MD (NPI 1194721308) is an individual neurological surgery provider in Columbus, Georgia, licensed in Georgia (89571) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Sgmc Health, and maintains a secondary practice location in Apo.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Shahin Etebar 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.
Medicare Billing Reassignment
Medicare enrollment records show Shahin Etebar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Valdosta, GA 31602
- Reassigned Medicare billing, Georgia enrollment
- 183 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 8
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sgmc Health
Acute Care Hospitals · Valdosta, GASgmc Berrien Campus
Acute Care Hospitals · Nashville, GASgmc Health Lanier
Critical Access Hospitals · Lakeland, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 31901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Shahin Etebar's NPI number?
The NPI number for Shahin Etebar is 1194721308. It was assigned to this individual provider in the NPPES registry on June 22, 2005.
Where is Shahin Etebar located?
Shahin Etebar practices at 1538 13th Ave Ste B300, Columbus, GA 31901. The listed phone number is (706) 321-9300.
What is Shahin Etebar's specialty?
The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.
Is Shahin Etebar enrolled in Medicare?
Yes. Shahin Etebar 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.
Which organization bills Medicare for Shahin Etebar's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shahin Etebar reassigns Medicare benefits to Sgmc Physician Network Inc (Valdosta, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shahin Etebar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shahin Etebar accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Shahin Etebar 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 Shahin Etebar affiliated with any hospitals?
According to CMS data, Shahin Etebar is affiliated with Sgmc Health, Sgmc Berrien Campus and Sgmc Health Lanier.
When was this NPI record last updated?
The NPPES record for Shahin Etebar was last updated on October 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Shahin Etebar, MD · NPI 1194721308
Neurological Surgery physician in Columbus, Georgia. Individual provider, active in the CMS NPPES registry since June 22, 2005.
## Identity
- **NPI:** 1194721308 (Entity type: Individual)
- **Enumerated:** June 22, 2005
- **Primary specialty:** Neurological Surgery · taxonomy 207T00000X
- **State license:** 89571 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1538 13TH AVE STE B300, Columbus, GA 31901-2563
- **Phone:** (706) 321-9300 · **Fax:** (706) 243-1284
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Sgmc Physician Network Inc (NPI 1417597170, Valdosta, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, Irvine, California College Of Medicine, class of 1990
## Record status
- **NPPES last updated:** October 31, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1194721308) · Data from the CMS NPPES public registry.