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SHAILESH GANDHI M.D.
NPI 1326218686
Psychiatry & Neurology - Psychiatry in Conyers, GA

Active since March 03, 2008PECOS EnrolledAccepts Medicare Assignment
98.84/100
CMS Quality Rating
1814 LAKEFIELD CT SE STE A, CONYERS, GA 30013(770) 277-7195(888) 747-9242 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 10, 2025, Mar 5, 2020, Apr 4, 2019 (3 updates tracked since 2019).

About Shailesh Gandhi M.d. NPPES

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

SHAILESH GANDHI M.D. (NPI 1326218686) is an individual psychiatry provider in Conyers, Georgia, licensed in California (C53284) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS and is a graduate of Other (1980).

NPPES Registry Identity

NPI1326218686
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameSHAILESH GANDHICredential: M.D.
Location Address1814 LAKEFIELD CT SE STE AConyers, GA 30013-1776
Mailing Address6555 Sugarloaf Pkwy # 258-307Duluth, GA 30097-4930 · (770) 277-7195 · Fax (888) 747-9242
Phone(770) 277-7195
Fax(888) 747-9242
Sole ProprietorNo
Medical School CMSOtherGraduated 1980
Enumeration DateMarch 3, 2008
Last NPPES UpdateJuly 10, 20253 updates tracked since enumeration
NPPES CertifiedJuly 10, 2025
✔ NPI 1326218686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CA · C53284
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.
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License C53284 (CA), 034139 (GA)
1814 LAKEFIELD CT SE STE A, Conyers, GA 30013
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Other Identifiers 1

Medicaid000494711BGA

Accepted Insurance

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

Shailesh Gandhi 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 ID5597733147
PECOS Enrollment IDI20040921000885, I20230418001526
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Shailesh Gandhi reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Shailesh Gandhi,md,pc
33 mi
Mental Health (Including Community Mental Health Center)
4015 S COBB DR SE, SUITE 275
Smyrna, GA 30080
  • Reassigned Medicare billing, Georgia enrollment
NPI 1952468316 (770) 805-8365
Edgerton Hospital And Health Services Inc
683 mi
Pain Medicine
757 E MILWAUKEE ST STE A
Whitewater, WI 53190
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1326192261 (Wisconsin)
  • 70 clinicians in this Medicare group
NPI 1538845888 (608) 884-1609
Department Of State Hospitals
1,824 mi
Psychiatric Hospital
3102 E HIGHLAND AVE
Patton, CA 92369
  • Reassigned Medicare billing, California enrollment
  • 755 clinicians in this Medicare group
NPI 1043249204 (909) 425-7552
County Of Santa Clara
2,120 mi
Federally Qualified Health Center (FQHC)
7475 CAMINO ARROYO
Gilroy, CA 95020
  • Reassigned Medicare billing, California enrollment
  • 2,460 clinicians in this Medicare group
NPI 1922093533 (408) 885-5000
Contra Costa County
2,132 mi
Adult Mental Health
2311 LOVERIDGE RD, 1ST AND 2ND FLOORS
Pittsburg, CA 94565
  • Reassigned Medicare billing, California enrollment
  • 530 clinicians in this Medicare group
NPI 1073691598 (925) 431-2600
Traditions Psychiatry Group, P.C
2,179 mi
Psychiatry
1287 FULTON RD
Santa Rosa, CA 95401
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Traditions Psychiatry Group PC
  • 98 clinicians in this Medicare group
NPI 1083802979 (707) 258-8757

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 2

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.

Family psychotherapy with patient, 50 minutes 90847
Family psychotherapy is a 50-minute session where a therapist helps the patient and their family understand and manage mental health issues. It's a collaborative process that aims to improve communication, solve family problems, understand and handle special family situations, and create a better functioning home environment.
154 services26 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
90 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30013 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
$172.43 typical visit price
range $56.84 – $172.43
Typical copayment $43.10 (range $14.21 – $43.10)
Most-billed visit code 99205
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

98.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.89
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

RAMESH AMIN MD
Psychiatry & Neurology (Psychiatry)
1814 LAKEFIELD CT SE STE A
CONYERS, GA 30013
Rockdale County (770) 922-4770
HAGAN ZIEGLER AND ASSOCIATES PC
Counselor (Mental Health)
1814 LAKEFIELD CT SE STE A
CONYERS, GA 30013
Rockdale County (770) 922-4770

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 Shailesh Gandhi's NPI number?

The NPI number for Shailesh Gandhi is 1326218686. It was assigned to this individual provider in the NPPES registry on March 3, 2008.

Where is Shailesh Gandhi located?

Shailesh Gandhi practices at 1814 Lakefield Ct SE Ste A, Conyers, GA 30013. The listed phone number is (770) 277-7195.

What is Shailesh Gandhi's specialty?

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

Is Shailesh Gandhi enrolled in Medicare?

Yes. Shailesh Gandhi 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 organizations bill Medicare for Shailesh Gandhi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shailesh Gandhi reassigns Medicare benefits to 6 organizations: Shailesh Gandhi,md,pc (Smyrna, GA), Edgerton Hospital And Health Services Inc (Whitewater, WI), Department Of State Hospitals (Patton, CA), County Of Santa Clara (Gilroy, CA), Contra Costa County (Pittsburg, CA) and 1 more organization, listed in the Medicare section above. Each 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 Shailesh Gandhi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shailesh Gandhi accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 7 other insurers list Shailesh Gandhi 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 Shailesh Gandhi was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.