DR. JOHN A SHIVDAT D.O.
NPI 1376599746
Emergency Medicine in Perry, GA
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
Specialties & Licenses
Other Identifiers 2
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
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.
Medicare Billing Reassignments
4Medicare enrollment records show John Shivdat reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Buford, GA 30518
- Reassigned Medicare billing, Georgia enrollment
- 15 clinicians in this Medicare group
Myrtle Beach, SC 29572
- Reassigned Medicare billing, Georgia enrollment
- 586 clinicians in this Medicare group
Edison, NJ 08820
- Reassigned Medicare billing, New Jersey enrollment
- 156 clinicians in this Medicare group
Plainfield, NJ 07060
- Reassigned Medicare billing, New Jersey enrollment
- 103 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.
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.
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, NJPhysician 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.
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.
PERRY, GA 31069
PERRY, GA 31069
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.
Which organizations bill Medicare for John Shivdat's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Shivdat reassigns Medicare benefits to 4 organizations: Home Physician Care, LLC (Buford, GA), Acs Primary Care Physicians - Southeast PC (Myrtle Beach, SC), Middlesex Emergency Physicians, P.A. (Edison, NJ) and Plainfield Emergency Physicians, PA (Plainfield, NJ). 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 John Shivdat's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Dr. John A Shivdat, D.O. · NPI 1376599746
Emergency Medicine physician in Perry, Georgia. Individual provider, active in the CMS NPPES registry since May 26, 2006.
## Identity
- **NPI:** 1376599746 (Entity type: Individual)
- **Enumerated:** May 26, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 25MB06152500 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1120 MORNINGSIDE DR, Perry, GA 31069-2906
- **Phone:** (478) 988-1706 · **Fax:** (478) 988-1794
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Home Physician Care, LLC (NPI 1003047184, Buford, GA); Acs Primary Care Physicians - Southeast PC (NPI 1861430555, Myrtle Beach, SC); Middlesex Emergency Physicians, P.A. (NPI 1811921760, Edison, NJ); Plainfield Emergency Physicians, PA (NPI 1659309680, Plainfield, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Rowan University School Of Osteopathic Medicine, class of 1993
## Record status
- **NPPES last updated:** March 3, 2023
- **Other identifiers:** Medicaid 6848109 (NJ); Other P00630321 (NJ)
---
Source: [NPI Profile](https://npiprofile.com/npi/1376599746) · Data from the CMS NPPES public registry.