SHIVANI SHIVKUMAR MALLISHERY
NPI 1396506192
Dentist in Austell, GA

Active since January 18, 2024PECOS Enrolled
3999 AUSTELL RD STE 211, AUSTELL, GA 30106(770) 732-3364 Get Directions Write a Review

NPPES record last updated: January 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shivani Shivkumar Mallishery NPPES

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

SHIVANI SHIVKUMAR MALLISHERY (NPI 1396506192) is an individual dentist in Austell, Georgia, licensed in Georgia (DN123318) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396506192
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameSHIVANI SHIVKUMAR MALLISHERY
Location Address3999 AUSTELL RD STE 211Austell, GA 30106-1144
Mailing Address3999 Austell RdAustell, GA 30106-1100 · (770) 732-3364
Sole ProprietorNo
Enumeration DateJanuary 18, 2024
NPPES CertifiedJanuary 15, 2024
NPI 1396506192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in GA · DN123318
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

3999 AUSTELL RD STE 211, Austell, GA 30106

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Shivani Shivkumar Mallishery 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30106 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
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

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

Dentist (General Practice)
3999 AUSTELL RD STE 211
AUSTELL, GA 30106

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 Shivani Shivkumar Mallishery's NPI number?

The NPI number for Shivani Shivkumar Mallishery is 1396506192. It was assigned to this individual provider in the NPPES registry on January 18, 2024.

Where is Shivani Shivkumar Mallishery located?

Shivani Shivkumar Mallishery practices at 3999 Austell Rd Ste 211, Austell, GA 30106. The listed phone number is (770) 732-3364.

What is Shivani Shivkumar Mallishery's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Shivani Shivkumar Mallishery enrolled in Medicare?

Yes. Shivani Shivkumar Mallishery is registered in the Medicare PECOS enrollment system.

What insurance does Shivani Shivkumar Mallishery accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 12 other insurers list Shivani Shivkumar Mallishery 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 Shivani Shivkumar Mallishery was last updated on January 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.