ISSAM SHAKER M.D.
NPI 1356317598
Surgery - Pediatric Surgery in Macon, GA

Active since February 27, 2006PECOS Enrolled
840 PINE ST STE 510, MACON, GA 31201(478) 633-8383(478) 633-8390 Get Directions Write a Review

NPPES record last updated: September 9, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Issam Shaker M.d. NPPES

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

ISSAM SHAKER M.D. (NPI 1356317598) is an individual pediatric surgery provider in Macon, Georgia, licensed in Georgia (017883) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356317598
Entity TypeIndividualMale
Primary Taxonomy2086S0120X
Provider Legal NameISSAM SHAKERCredential: M.D.
Location Address840 PINE ST STE 510Macon, GA 31201-7530
Mailing Address840 Pine St Ste 510Macon, GA 31201-7530 · (478) 633-8383 · Fax (478) 633-8390
Fax(478) 633-8390
Sole ProprietorNo
Enumeration DateFebruary 27, 2006
Last NPPES UpdateSeptember 9, 2020
NPPES CertifiedSeptember 9, 2020
✔ NPI 1356317598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
License✔ Licensed in GA · 017883
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
Also ListedPediatricsTaxonomy 208000000X · License 017883 (GA)
840 PINE ST STE 510, Macon, GA 31201

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Issam Shaker M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Issam Shaker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
777 HEMLOCK ST
Macon, GA 31201
  • Reassigned Medicare billing, Georgia enrollment
  • 483 clinicians in this Medicare group

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

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
840 PINE ST STE 510
MACON, GA 31201
Surgery (Pediatric Surgery)
840 PINE ST STE 510
MACON, GA 31201
Surgery (Pediatric Surgery)
840 PINE ST STE 510
MACON, GA 31201
Nurse Practitioner (Family)
840 PINE ST STE 510
MACON, GA 31201

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 Issam Shaker's NPI number?

The NPI number for Issam Shaker is 1356317598. It was assigned to this individual provider in the NPPES registry on February 27, 2006.

Where is Issam Shaker located?

Issam Shaker practices at 840 Pine St Ste 510, Macon, GA 31201. The listed phone number is (478) 633-8383.

What is Issam Shaker's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Issam Shaker enrolled in Medicare?

Yes. Issam Shaker is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Issam Shaker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Issam Shaker reassigns Medicare benefits to Health Services Of Central Georgia, Inc (Macon, GA). The 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 Issam Shaker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Issam Shaker accept?

Health plans from Alliant Health Plans, Inc., Oscar Health and Oscar Insurance Company list Issam Shaker 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 Issam Shaker was last updated on September 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.