MR. SHAYAN BAGHERI PA-C
NPI 1205678554
Physician Assistant in Cumming, GA

Active since June 08, 2024
204 CANTON RD, CUMMING, GA 30040(770) 886-5437 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 18, 2024, Jun 8, 2024 (2 updates tracked since 2024).

About Mr. Shayan Bagheri Pa-c NPPES

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

MR. SHAYAN BAGHERI PA-C (NPI 1205678554) is an individual physician assistant in Cumming, Georgia and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1205678554
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. SHAYAN BAGHERICredential: PA-C
Location Address204 CANTON RDCumming, GA 30040-2304
Mailing Address204 Canton RdCumming, GA 30040-2304 · (770) 886-5437
Sole ProprietorYes
Enumeration DateJune 8, 2024
Last NPPES UpdateJune 18, 20242 updates tracked since enumeration
NPPES CertifiedJune 18, 2024
NPI 1205678554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
204 CANTON RD, Cumming, GA 30040

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Pediatrics)
204 CANTON RD
CUMMING, GA 30040
Pediatrics
204 CANTON RD
CUMMING, GA 30040
Pediatrics
204 CANTON RD
CUMMING, GA 30040
Pediatrics
204 CANTON RD
CUMMING, GA 30040

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 Shayan Bagheri's NPI number?

The NPI number for Shayan Bagheri is 1205678554. It was assigned to this individual provider in the NPPES registry on June 8, 2024.

Where is Shayan Bagheri located?

Shayan Bagheri practices at 204 Canton Rd, Cumming, GA 30040. The listed phone number is (770) 886-5437.

What is Shayan Bagheri's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Shayan Bagheri was last updated on June 18, 2024. 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.