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BAHEEG L SHADEED MD
NPI 1588094106
Specialist in Smyrna, GA

Active since November 18, 2013
3969 S COBB DR SE STE 202, SMYRNA, GA 30080(770) 438-9191(770) 438-9272 Get Directions Write a Review

NPPES record last updated: January 15, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Baheeg L Shadeed Md NPPES

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

BAHEEG L SHADEED MD (NPI 1588094106) is a healthcare organization registered as a specialist in Smyrna, Georgia and active in the NPI registry since November 2013. The organization lists Baheeg Lawrence Shadeed, Owner, as its authorized official.

NPPES Registry Identity

NPI1588094106
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameELITE SURGICAL PC
Location Address3969 S COBB DR SE STE 202Smyrna, GA 30080-6317
Mailing Address3969 S Cobb Dr Se Ste 202Smyrna, GA 30080-6317 · (770) 438-9191 · Fax (770) 438-9272
Phone(770) 438-9191
Fax(770) 438-9272
Organization SubpartNo
Authorized OfficialBaheeg Lawrence ShadeedOwner · (770) 438-9191
Enumeration DateNovember 18, 2013
Last NPPES UpdateJanuary 15, 2014
✔ NPI 1588094106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in GA · 024628
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3969 S COBB DR SE STE 202, Smyrna, GA 30080
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Other Names 1

Other NameBaheeg L Shadeed Md

Other Identifiers 3

Medicare PIN202I020826GA
Medicaid000261665BGA
Medicare PIN202G700826GA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

THOMAS JOHN DEMARCO MD
Internal Medicine (Gastroenterology)
3969 S COBB DR SE STE 202
SMYRNA, GA 30080
Cobb County (770) 432-5326
THOMAS J. DEMARCO
Internal Medicine (Gastroenterology)
3969 S COBB DR SE STE 202
SMYRNA, GA 30080
Cobb County (770) 432-5326

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 Elite Surgical PC's NPI number?

The NPI number for Elite Surgical PC is 1588094106. It was assigned to this organization in the NPPES registry on November 18, 2013. The provider is also known as Baheeg L Shadeed MD.

Where is Elite Surgical PC located?

Elite Surgical PC is located at 3969 S Cobb Dr SE Ste 202, Smyrna, GA 30080. The listed phone number is (770) 438-9191.

What is Elite Surgical PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Elite Surgical PC was last updated on January 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.