DR. SHAANTA A. HANAGUD M.D.
NPI 1386738987
Family Medicine in Tucker, GA

Active since October 03, 2006Opted out of Medicare · through Sep 15, 2027
200 CRESCENT CENTER PKWY, TUCKER, GA 30084(770) 496-3626 Get Directions Write a Review

NPPES record last updated: January 7, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

NPI1386738987
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SHAANTA A. HANAGUDCredential: M.D.
Location Address200 CRESCENT CENTER PKWYTucker, GA 30084-7047
Mailing Address3495 Piedmont Rd Ne, Nine Piedmont CenterAtlanta, GA 30305-1717 · (404) 364-7070
Sole ProprietorNo
Enumeration DateOctober 3, 2006
Last NPPES UpdateJanuary 7, 2022
NPI 1386738987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in GA · 056456 Licensed in HI · MD-11650
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

200 CRESCENT CENTER PKWY, Tucker, GA 30084

Other Identifiers 2

Other00C0230270HI · Hmsa Billing Number
Medicaid501975-05HI

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.

Opt-Out Effective DateSeptember 15, 2025
Opt-Out In Effect ThroughSeptember 15, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 30084 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $88.06
  • Minimum New Patient Price $56.84
  • Maximum New Patient Price $172.43
  • Average New Patient Copayment $22.01
  • Minimum New Patient Copayment $14.21
  • Maximum New Patient Copayment $43.1

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $100.2
  • Minimum Established Patient Price $18.22
  • Maximum Established Patient Price $140.4
  • Average Established Patient Copayment $25.05
  • Minimum Established Patient Copayment $4.55
  • Maximum Established Patient Copayment $35.1

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine
200 CRESCENT CENTER PKWY, KAISER PERMANENTE CRESCENT MEDICAL CENTER
TUCKER, GA 30084
Pharmacist (Pharmacotherapy)
200 CRESCENT CENTER PKWY
TUCKER, GA 30084
Pharmacist
200 CRESCENT CENTER PKWY
TUCKER, GA 30084
Pharmacist
200 CRESCENT CENTER PKWY
TUCKER, GA 30084
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
200 CRESCENT CENTER PKWY
TUCKER, GA 30084
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
200 CRESCENT CENTER PKWY
TUCKER, GA 30084
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
200 CRESCENT CENTER PKWY
TUCKER, GA 30084
Pharmacist
200 CRESCENT CENTER PKWY
TUCKER, GA 30084
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
200 CRESCENT CENTER PKWY
TUCKER, GA 30084
Dietitian, Registered
200 CRESCENT CENTER PKWY
TUCKER, GA 30084
Registered Nurse (Lactation Consultant)
200 CRESCENT CENTER PKWY
TUCKER, GA 30084
Registered Nurse (Maternal Newborn)
200 CRESCENT CENTER PKWY
TUCKER, GA 30084
Clinical Medical Laboratory
200 CRESCENT CENTER PKWY
TUCKER, GA 30084
Pharmacy (Managed Care Organization Pharmacy)
200 CRESCENT CENTER PKWY
TUCKER, GA 30084
Psychologist (Cognitive & Behavioral)
200 CRESCENT CENTER PKWY, DEPARTMENT OF BEHAVIORAL HEALTH
TUCKER, GA 30084
Obstetrics & Gynecology
200 CRESCENT CENTER PKWY, KAISER PERMANENTE CRESCENT CENTRE MEDICAL CENTER
TUCKER, GA 30084
Family Medicine
200 CRESCENT CENTER PKWY, INTERNAL MEDICINE HEALTH CARE TEAM A
TUCKER, GA 30084
Dermatology
200 CRESCENT CENTER PKWY, DEPARTMENT OF DERMATOLOGY
TUCKER, GA 30084
Internal Medicine (Endocrinology, Diabetes & Metabolism)
200 CRESCENT CENTER PKWY, DEPARTMENT OF DIABETES CARE
TUCKER, GA 30084
Pediatrics
200 CRESCENT CENTER PKWY, KP CRESCENT CENTER MEDICAL OFFICE
TUCKER, GA 30084

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386738987, enumerated as an "individual" on October 03, 2006.

The provider is located at 200 CRESCENT CENTER PKWY TUCKER, GA 30084 and the phone number is (770) 496-3626.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.