MANAN I SHAH MD PC
NPI 1336468131
Ophthalmology in Bethlehem, GA

Active since May 19, 2010
14 VISION STREET, SUITE 100, BETHLEHEM, GA 30620(770) 868-0101 Get Directions Write a Review

NPPES record last updated: June 25, 2014. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Manan I Shah Md Pc NPPES

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

MANAN I SHAH MD PC (NPI 1336468131) is a healthcare organization registered as an ophthalmology in Bethlehem, Georgia and active in the NPI registry since May 2010. The organization lists Manan I Shah, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1336468131
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameMANAN I SHAH MD PC
Location Address14 VISION STREET, SUITE 100Bethlehem, GA 30620
Mailing Address14 Vision Street, Suite 100Bethlehem, GA 30620 · (770) 868-0101
Organization SubpartNo
Authorized OfficialManan I ShahPhysician/owner · (770) 868-0101
Enumeration DateMay 19, 2010
Last NPPES UpdateJune 25, 2014
✔ NPI 1336468131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in GA · 58505
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
14 VISION STREET, Bethlehem, GA 30620

Other Identifiers 1

Medicare UPIN202G181075GA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Manan I Shah Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateGeorgiaEnrollment IDO20180731004204DME · Physician - OphthalmologyDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Manan I Shah MD PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Ophthalmology
NPI 1881621233
14 VISION STREET SUITE 100
Bethlehem, GA 30620
(770) 868-0101
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1528641404
14 VISION ST STE 100
Bethlehem, GA 30620
(770) 868-0101
✔ PECOS✔ Accepts MedicareSame address

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 Manan I Shah MD PC's NPI number?

The NPI number for Manan I Shah MD PC is 1336468131. It was assigned to this organization in the NPPES registry on May 19, 2010.

Where is Manan I Shah MD PC located?

Manan I Shah MD PC is located at 14 Vision Street Suite 100, Bethlehem, GA 30620. The listed phone number is (770) 868-0101.

What is Manan I Shah MD PC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Manan I Shah MD PC enrolled in Medicare?

Yes. Manan I Shah MD PC is registered in the Medicare PECOS enrollment system.

When is Manan I Shah MD PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Georgia, Physician - Ophthalmology) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Manan I Shah MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Ophthalmology, reassign their Medicare billing to Manan I Shah MD PC. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Manan I Shah MD PC was last updated on June 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.