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EDWARD JOEL SHANIK M.D.
NPI 1417916859
Family Medicine in Cumming, GA

Active since March 23, 2006PECOS Enrolled
260 ELM ST, CUMMING, GA 30040(770) 887-1668(770) 781-9937 Get Directions Write a Review

NPPES record last updated: December 22, 2014. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Edward Joel Shanik M.d. NPPES

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

EDWARD JOEL SHANIK M.D. (NPI 1417916859) is an individual family medicine provider in Cumming, Georgia, licensed in Georgia (020484) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417916859
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameEDWARD JOEL SHANIKCredential: M.D.
Location Address260 ELM STCumming, GA 30040-2467
Mailing Address260 Elm StCumming, GA 30040-2467 · (770) 887-1668 · Fax (770) 781-9937
Phone(770) 887-1668
Fax(770) 781-9937
Sole ProprietorNo
Enumeration DateMarch 23, 2006
Last NPPES UpdateDecember 22, 2014
✔ NPI 1417916859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 020484
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.
260 ELM ST, Cumming, GA 30040
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Other Identifiers 13

Medicaid000193179LGA
Medicare ID-Type Unspecified08BBTRM
Medicaid000193179MGA
Medicaid4048222TN
Medicaid000193179KGA
Medicare PINGRP6002GU
Other4186949TN · Bcbs Tn
Medicare PIN511I080169GA
Medicare PINP00648747GA
Other01160889GA · Amerigroup
Other52023332GA · Bcbs Ga
Medicare UPIND30790
Medicaid00193179JGA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edward Joel Shanik M.d. 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 30040 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
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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 20

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

MRS. KATHERINE WEAVER PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
260 ELM ST
CUMMING, GA 30040
Forsyth County (770) 887-1668
KRUPA PATEL FNP-C
Nurse Practitioner (Family)
260 ELM ST
CUMMING, GA 30040
Forsyth County (708) 871-6687
TOAN TRAN PHARMD
Pharmacist
260 ELM ST
CUMMING, GA 30040
Forsyth County (770) 887-1668
DR. FERNANDO R. ALVAREZ-BOGNAR M.D.
Internal Medicine
260 ELM ST
CUMMING, GA 30040
Forsyth County (770) 887-1668
GEORGIA HIGHLANDS MEDICAL SERVICES, INC.
Pharmacy (Community/Retail Pharmacy)
260 ELM ST
CUMMING, GA 30040
Forsyth County (770) 887-1670
MRS. DEBRA L IRVINE RN
Registered Nurse (Community Health)
260 ELM ST
CUMMING, GA 30040
Forsyth County (770) 887-1668
MRS. CAROL P LYERLY FNP-C
Nurse Practitioner (Family)
260 ELM ST
CUMMING, GA 30040
Forsyth County (770) 887-1668
DR. BRINKLEY F GOODSON D.O.
Family Medicine
260 ELM ST
CUMMING, GA 30040
Forsyth County (770) 887-1668

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 Edward Shanik's NPI number?

The NPI number for Edward Shanik is 1417916859. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is Edward Shanik located?

Edward Shanik practices at 260 Elm St, Cumming, GA 30040. The listed phone number is (770) 887-1668.

What is Edward Shanik's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Edward Shanik enrolled in Medicare?

Yes. Edward Shanik is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Edward Shanik was last updated on December 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.