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MR. GEORGE LEONARD SHAW JR. P.T.
NPI 1558744680
Physical Therapist - Geriatrics in Suwanee, GA

Active since July 07, 2015Accepts Medicare Assignment
601 NORTHOLT PKWY, SUWANEE, GA 30024(770) 904-3222 Get Directions Write a Review

NPPES record last updated: July 7, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. George Leonard Shaw Jr. P.t. NPPES

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

MR. GEORGE LEONARD SHAW JR. P.T. (NPI 1558744680) is an individual geriatrics provider in Suwanee, Georgia, licensed in Georgia (PT007404) and active in the NPI registry since July 2015. He is a graduate of Other (2001).

NPPES Registry Identity

NPI1558744680
Entity TypeIndividualMale
Primary Taxonomy2251G0304X
Provider Legal NameMR. GEORGE LEONARD SHAW JR.Credential: P.T.
Location Address601 NORTHOLT PKWYSuwanee, GA 30024-4360
Mailing Address2806 Langford Commons DrNorcross, GA 30071-1520 · (404) 808-6183
Phone(770) 904-3222
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJuly 7, 2015
✔ NPI 1558744680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · GeriatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251G0304X
License✔ Licensed in GA · PT007404
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult.
601 NORTHOLT PKWY, Suwanee, GA 30024
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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

Mr. George Leonard Shaw Jr. P.t. 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.

PECOS PAC ID4688134588
PECOS Enrollment IDI20260831004234

Medicare Billing Reassignment

Medicare enrollment records show George Shaw reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Georgia Luna Care Physical Therapy LLC
27 mi
Physical Therapist
260 PEACHTREE ST NW STE 2200
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • 323 clinicians in this Medicare group
NPI 1245826999 (866) 525-3175

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

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

LUCYL-MAMS EYONGNDIP FONKENG
Occupational Therapy Assistant
601 NORTHOLT PKWY
SUWANEE, GA 30024
Gwinnett County (770) 904-3222
ALAN L WANG M.D.
Internal Medicine
601 NORTHOLT PKWY
SUWANEE, GA 30024
Gwinnett County (770) 904-3222
MLH SALUDE - GWINNETT LLC
Skilled Nursing Facility
601 NORTHOLT PKWY
SUWANEE, GA 30024
Gwinnett County (770) 904-3222
IPM INSTITUTE AT SALUDE LLC
Physical Medicine & Rehabilitation
601 NORTHOLT PKWY
SUWANEE, GA 30024
Gwinnett County (770) 904-3222
HILA OREN AGNP-C
Nurse Practitioner (Gerontology)
601 NORTHOLT PKWY
SUWANEE, GA 30024
Gwinnett County (770) 904-3222
ATLANTA PM&R INC
Physical Medicine & Rehabilitation
601 NORTHOLT PKWY
SUWANEE, GA 30024
Gwinnett County (770) 904-3222

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 George Shaw's NPI number?

The NPI number for George Shaw is 1558744680. It was assigned to this individual provider in the NPPES registry on July 7, 2015.

Where is George Shaw located?

George Shaw practices at 601 Northolt Pkwy, Suwanee, GA 30024. The listed phone number is (770) 904-3222.

What is George Shaw's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.

Is George Shaw enrolled in Medicare?

Yes. George Shaw 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 organization bills Medicare for George Shaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), George Shaw reassigns Medicare benefits to Georgia Luna Care Physical Therapy LLC (Atlanta, GA). The 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 George Shaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for George Shaw was last updated on July 7, 2015. 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.