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DR. JOHN A SHIVDAT D.O.
NPI 1376599746
Emergency Medicine in Perry, GA

Active since May 26, 2006PECOS EnrolledAccepts Medicare Assignment
1120 MORNINGSIDE DR, PERRY, GA 31069(478) 988-1706(478) 988-1794 Get Directions Write a Review

NPPES record last updated: March 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John A Shivdat D.o. NPPES

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

DR. JOHN A SHIVDAT D.O. (NPI 1376599746) is an individual emergency medicine provider in Perry, Georgia, licensed in New Jersey (25MB06152500) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Jfk Medical Center, and is a graduate of Rowan University School Of Osteopathic Medicine (1993).

NPPES Registry Identity

NPI1376599746
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JOHN A SHIVDATCredential: D.O.
Location Address1120 MORNINGSIDE DRPerry, GA 31069-2906
Mailing Address1074 Grand Oaks Gln NwMarietta, GA 30064-5423 · (770) 424-0901 · Fax (727) 507-3618
Phone(478) 988-1706
Fax(478) 988-1794
Sole ProprietorYes
Medical School CMSRowan University School Of Osteopathic MedicineGraduated 1993
Enumeration DateMay 26, 2006
Last NPPES UpdateMarch 3, 2023
NPPES CertifiedMarch 3, 2023
✔ NPI 1376599746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in NJ · 25MB06152500✔ Licensed in GA · 47527
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1120 MORNINGSIDE DR, Perry, GA 31069
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Other Identifiers 2

Medicaid6848109NJ
OtherP00630321NJ · Medicare Railroad

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. John A Shivdat D.o. 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 ID3971580077
PECOS Enrollment IDI20070926000914
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 7

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
257 services250 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
134 services132 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
94 services92 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
76 services29 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
18 services18 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31069 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

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

MRS. SUE A DOBOS CRNA
Nurse Anesthetist, Certified Registered
1120 MORNINGSIDE DR
PERRY, GA 31069
Houston County (478) 988-1750
MS. VARA YVONNE HITCHCOCK ATC, LAT
Specialist/Technologist (Athletic Trainer)
1120 MORNINGSIDE DR
PERRY, GA 31069
Houston County (478) 256-1912
MORNINGSIDE EMERGENCY PHYSICIANS LLC
Emergency Medicine
1120 MORNINGSIDE DR
PERRY, GA 31069
Houston County (478) 988-1706
CEP AMERICA-GEORGIA PC
Hospitalist
1120 MORNINGSIDE DR
PERRY, GA 31069
Houston County (478) 987-3600
DR. JONATHAN G VELASQUEZ MD
Internal Medicine
1120 MORNINGSIDE DR, PERRY HOSPITAL EMERGENCY DEPARTMENT
PERRY, GA 31069
Houston County (478) 997-9237
CHRISTINA WOODALL EASLER PHARM D.
Pharmacist
1120 MORNINGSIDE DR
PERRY, GA 31069
Houston County (478) 987-3600
HOUSTON HEALTH CARE COMPLEX, INC
Anesthesiology
1120 MORNINGSIDE DR
PERRY, GA 31069
Houston County (478) 542-7963
MR. TRAVIS POLK ATC
Specialist/Technologist (Athletic Trainer)
1120 MORNINGSIDE DR
PERRY, GA 31069
Houston County (706) 836-6350

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 John Shivdat's NPI number?

The NPI number for John Shivdat is 1376599746. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is John Shivdat located?

John Shivdat practices at 1120 Morningside Dr, Perry, GA 31069. The listed phone number is (478) 988-1706.

What is John Shivdat's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is John Shivdat enrolled in Medicare?

Yes. John Shivdat 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.

Is John Shivdat affiliated with any hospitals?

According to CMS data, John Shivdat is affiliated with Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for John Shivdat was last updated on March 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.