DR. SHAANTA A. HANAGUD M.D.
NPI 1386738987
Family Medicine in Tucker, GA
About Dr. Shaanta A. Hanagud M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHAANTA A. HANAGUD M.D. (NPI 1386738987) is an individual family medicine provider in Tucker, Georgia, licensed in Georgia (056456) and active in the NPI registry since October 2006. She has opted out of Medicare through September 15, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Shaanta A. Hanagud M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 15, 2025 through September 15, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30084 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.
TUCKER, GA 30084
TUCKER, GA 30084
TUCKER, GA 30084
TUCKER, GA 30084
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 Shaanta Hanagud's NPI number?
The NPI number for Shaanta Hanagud is 1386738987. It was assigned to this individual provider in the NPPES registry on October 3, 2006.
Where is Shaanta Hanagud located?
Shaanta Hanagud practices at 200 Crescent Center Pkwy, Tucker, GA 30084. The listed phone number is (770) 496-3626.
What is Shaanta Hanagud's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Shaanta Hanagud enrolled in Medicare?
No. Shaanta Hanagud has opted out of Medicare through September 15, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Shaanta Hanagud was last updated on January 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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. Shaanta A. Hanagud, M.D. · NPI 1386738987
Family Medicine physician in Tucker, Georgia. Individual provider, active in the CMS NPPES registry since October 3, 2006.
## Identity
- **NPI:** 1386738987 (Entity type: Individual)
- **Enumerated:** October 3, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 056456 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 CRESCENT CENTER PKWY, Tucker, GA 30084-7047
- **Phone:** (770) 496-3626
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through September 15, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** January 7, 2022
- **Other identifiers:** Other 00C0230270 (HI); Medicaid 501975-05 (HI)
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Source: [NPI Profile](https://npiprofile.com/npi/1386738987) · Data from the CMS NPPES public registry.