EVOLVE MEDICAL CARE CLINIC
NPI 1619688660
Nurse Practitioner - Primary Care in Lawrenceville, GA

Q: What is Shivdharaa LLC's NPI number?

The NPI number for Shivdharaa LLC is 1619688660. It was assigned to this organization in the NPPES registry on December 12, 2022. The provider is doing business as Evolve Medical Care Clinic.

Q: What is Shivdharaa LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Shivdharaa LLC was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since December 12, 2022CLIA 11D2280643 · Waiver

3639 LAWRENCEVILLE HWY # 7, LAWRENCEVILLE, GA 30044(404) 940-2033 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 8, 2024, Jan 5, 2024, Dec 12, 2022 (3 updates tracked since 2022).

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About Evolve Medical Care Clinic NPPES

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

EVOLVE MEDICAL CARE CLINIC (NPI 1619688660) is a healthcare organization registered as a primary care in Lawrenceville, Georgia and active in the NPI registry since December 2022. The organization holds a CLIA Waiver certificate valid through April 23, 2027 and lists Bijal Patel, Owner, as its authorized official.

NPPES Registry Identity

NPI1619688660

Entity TypeOrganization

Primary Taxonomy363LP2300X

Legal Business NameSHIVDHARAA LLC

Location Address3639 LAWRENCEVILLE HWY # 7Lawrenceville, GA 30044-4107

Mailing Address2515 Haynes Club CirGrayson, GA 30017-2814 · (678) 643-5580 · Fax (888) 542-9103

Phone(404) 940-2033

Organization SubpartNo

Authorized OfficialBijal PatelOwner · (678) 643-5580

Enumeration DateDecember 12, 2022

Last NPPES UpdateMay 8, 20243 updates tracked since enumeration

NPPES CertifiedMay 8, 2024

✔ NPI 1619688660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

3639 LAWRENCEVILLE HWY # 7, Lawrenceville, GA 30044

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Other Names 1

Doing Business AsEvolve Medical Care Clinic

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2280643

Shivdharra Dba Evolve Medical Care Clinic · Lawrenceville, GA

Active · expires Apr 23, 2027

CLIA Number11D2280643

Laboratory TypePhysician Office

Certificate Effective DateApril 24, 2025

Certificate Expiration DateApril 23, 2027

Laboratory DirectorBijal Patel

Laboratory Phone(678) 643-5580

Laboratory LocationShivdharra Dba Evolve Medical Care Clinic3639 Lawrenceville Highway, Lawrenceville, GA 30044

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Shivdharaa LLC's NPI number?

The NPI number for Shivdharaa LLC is 1619688660. It was assigned to this organization in the NPPES registry on December 12, 2022. The provider is doing business as Evolve Medical Care Clinic.

Where is Shivdharaa LLC located?

Shivdharaa LLC is located at 3639 Lawrenceville Hwy # 7, Lawrenceville, GA 30044. The listed phone number is (404) 940-2033.

What is Shivdharaa LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Does Shivdharaa LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2280643) is associated with this NPI, valid through April 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Shivdharaa LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Shivdharaa LLC 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 Shivdharaa LLC was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.