SHALLOWFORD WELLNESS CENTER LLC
NPI 1235917469
Community/Behavioral Health in Atlanta, GA

Q: What is Shallowford Wellness Center LLC's NPI number?

The NPI number for Shallowford Wellness Center LLC is 1235917469. It was assigned to this organization in the NPPES registry on September 19, 2023.

Q: What is Shallowford Wellness Center LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since September 19, 2023

3300 NORTHEAST EXPY NE, ATLANTA, GA 30341(404) 435-6604 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 4, 2025, Jun 17, 2025, Mar 4, 2024 (3 updates tracked since 2024).

On this page

About Shallowford Wellness Center Llc NPPES

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

SHALLOWFORD WELLNESS CENTER LLC (NPI 1235917469) is a healthcare organization registered as a community/behavioral health in Atlanta, Georgia and active in the NPI registry since September 2023. The organization lists Sofia Khan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1235917469

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameSHALLOWFORD WELLNESS CENTER LLC

Location Address3300 NORTHEAST EXPY NEAtlanta, GA 30341-3932

Mailing Address2521 Oak Grove Ests NeAtlanta, GA 30345-7601

Phone(404) 435-6604

Organization SubpartNo

Authorized OfficialSofia KhanCeo · (404) 435-6604

Enumeration DateSeptember 19, 2023

Last NPPES UpdateAugust 4, 20253 updates tracked since enumeration

NPPES CertifiedAugust 4, 2025

✔ NPI 1235917469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Also ListedPsychiatry & Neurology · Neurodevelopmental DisabilitiesTaxonomy 2084P0005X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

3300 NORTHEAST EXPY NE, Atlanta, GA 30341

Open in Google Maps ↗

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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shallowford Wellness Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Shallowford Wellness Center LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Asad Mehdi, M.D.

Psychiatry

NPI 1578779898

2150 PEACHFORD RD STE T
Atlanta, GA 30338

(404) 947-5316

✔ PECOS3.8 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Shallowford Wellness Center LLC's NPI number?

The NPI number for Shallowford Wellness Center LLC is 1235917469. It was assigned to this organization in the NPPES registry on September 19, 2023.

Where is Shallowford Wellness Center LLC located?

Shallowford Wellness Center LLC is located at 3300 Northeast Expy NE, Atlanta, GA 30341. The listed phone number is (404) 435-6604.

What is Shallowford Wellness Center LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Shallowford Wellness Center LLC enrolled in Medicare?

Yes. Shallowford Wellness Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shallowford Wellness Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Shallowford Wellness Center LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Shallowford Wellness Center LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Shallowford Wellness Center LLC 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.

When was this NPI record last updated?

The NPPES record for Shallowford Wellness Center LLC was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.