DR. DIVYA SARATH SHAH M.D.
NPI 1316343643
Psychiatry & Neurology - Psychiatry in Gainesville, GA

Active since November 13, 2014PECOS EnrolledAccepts Medicare Assignment
82.55/100
CMS Quality Rating
200 WISTERIA DR, GAINESVILLE, GA 30501(770) 219-5407 Get Directions Write a Review

NPPES record last updated: January 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 22, 2021, Sep 13, 2018 (2 updates tracked since 2018).

About Dr. Divya Sarath Shah M.d. NPPES

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

DR. DIVYA SARATH SHAH M.D. (NPI 1316343643) is an individual psychiatry provider in Gainesville, Georgia, licensed in Georgia (081069) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and maintains a secondary practice location in North Chicago.

NPPES Registry Identity

NPI1316343643
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. DIVYA SARATH SHAHCredential: M.D.
Location Address200 WISTERIA DRGainesville, GA 30501-3827
Mailing AddressPo Box 742616Atlanta, GA 30374-2616 · (770) 219-8420
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateNovember 13, 2014
Last NPPES UpdateJanuary 22, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2021
NPI 1316343643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses Licensed in GA · 081069 Licensed in IL · 125.065221
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
200 WISTERIA DR, Gainesville, GA 30501

Secondary Practice Location 1

Location 13001 Green Bay RdNorth Chicago, IL 60064-3048 · Phone (847) 688-1900

Accepted 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

Dr. Divya Sarath Shah M.d. 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 ID9234473661
PECOS Enrollment IDI20181211003571
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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
261 services90 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
39 services27 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number110029
Location743 Spring StreetGainesville, GA 30501 · Hall County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30501 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
$164.04 typical visit price
range $53.31 – $164.04
Typical copayment $41.01 (range $13.32 – $41.01)
Most-billed visit code 99205
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

82.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.14
Promoting Interoperability100
Improvement Activities40
Cost60.7

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.

Student in an Organized Health Care Education/Training Program
200 WISTERIA DR
GAINESVILLE, GA 30501
Psychiatry & Neurology (Psychiatry)
200 WISTERIA DR
GAINESVILLE, GA 30501
Nurse Practitioner (Psychiatric/Mental Health)
200 WISTERIA DR
GAINESVILLE, GA 30501
Psychiatry & Neurology (Psychiatry)
200 WISTERIA DR
GAINESVILLE, GA 30501
Nurse Practitioner (Psychiatric/Mental Health)
200 WISTERIA DR
GAINESVILLE, GA 30501
Psychiatry & Neurology (Psychiatry)
200 WISTERIA DR
GAINESVILLE, GA 30501
Counselor (Professional)
200 WISTERIA DR
GAINESVILLE, GA 30501
Psychiatry & Neurology (Psychiatry)
200 WISTERIA DR
GAINESVILLE, GA 30501

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 Divya Shah's NPI number?

The NPI number for Divya Shah is 1316343643. It was assigned to this individual provider in the NPPES registry on November 13, 2014.

Where is Divya Shah located?

Divya Shah practices at 200 Wisteria Dr, Gainesville, GA 30501. The listed phone number is (770) 219-5407.

What is Divya Shah's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Divya Shah enrolled in Medicare?

Yes. Divya Shah 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 Divya Shah accept?

Health plans from Alliant Health Plans, Inc. list Divya Shah 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 Divya Shah affiliated with any hospitals?

According to CMS data, Divya Shah is affiliated with Northeast Georgia Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Divya Shah was last updated on January 22, 2021. 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.