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DR. JACK SHEN JR. M.D., M.B.S.
NPI 1639523574
Psychiatry & Neurology - Neurology in Roswell, GA

Active since April 18, 2016PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
2500 HOSPITAL BLVD STE 440, ROSWELL, GA 30076(770) 663-4649 Get Directions Write a Review

NPPES record last updated: August 17, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 17, 2022, Sep 5, 2020, Jul 10, 2019 (3 updates tracked since 2019).

About Dr. Jack Shen Jr. M.d., M.b.s. NPPES

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

DR. JACK SHEN JR. M.D., M.B.S. (NPI 1639523574) is an individual neurology provider in Roswell, Georgia, licensed in Georgia (92491) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and is a graduate of Wake Forest University School Of Medicine (2016).

NPPES Registry Identity

NPI1639523574
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. JACK SHEN JR.Credential: M.D., M.B.S.
Location Address2500 HOSPITAL BLVD STE 440Roswell, GA 30076-4919
Mailing Address2500 Hospital Blvd Ste 440Roswell, GA 30076-4919 · (770) 663-4649
Phone(770) 663-4649
Sole ProprietorNo
Medical School CMSWake Forest University School Of MedicineGraduated 2016
Enumeration DateApril 18, 2016
Last NPPES UpdateAugust 17, 20223 updates tracked since enumeration
NPPES CertifiedAugust 17, 2022
✔ NPI 1639523574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in GA · 92491✔ Licensed in OH · 35.138941
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2500 HOSPITAL BLVD STE 440, Roswell, GA 30076
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jack Shen Jr. M.d., M.b.s. 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 ID3274827878
PECOS Enrollment IDI20220627002491
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
6,932 services18 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
375 services193 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
102 services88 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
54 services54 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
32 services32 patients
Needle measurement of electrical activity in muscle with injection of chemical for paralysis of nerve muscle 95874
This procedure involves a needle that measures the electrical activity in your muscles. A chemical is then injected to temporarily paralyze the nerve muscle. This helps in diagnosing and treating certain muscle or nerve conditions.
29 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Wellstar North Fulton Hospital

Acute Care Hospitals · Roswell, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110198
Location3000 Hospital BoulevardRoswell, GA 30076 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30076 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

NOOSHIN KIANI NIA MD
Psychiatry & Neurology (Neurology)
2500 HOSPITAL BLVD STE 440
ROSWELL, GA 30076
Fulton County (770) 663-4649
GATHLINE ETIENNE MD
Psychiatry & Neurology (Neurology)
2500 HOSPITAL BLVD STE 440
ROSWELL, GA 30076
Fulton County (770) 663-4649
ERICKA TUMMINGS BENNETT MD
Psychiatry & Neurology (Neurology)
2500 HOSPITAL BLVD STE 440
ROSWELL, GA 30076
Fulton County (770) 663-4649
DAN LI NP-C
Nurse Practitioner (Adult Health)
2500 HOSPITAL BLVD STE 440
ROSWELL, GA 30076
Fulton County (770) 663-4649

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 Jack Shen's NPI number?

The NPI number for Jack Shen is 1639523574. It was assigned to this individual provider in the NPPES registry on April 18, 2016.

Where is Jack Shen located?

Jack Shen practices at 2500 Hospital Blvd Ste 440, Roswell, GA 30076. The listed phone number is (770) 663-4649.

What is Jack Shen's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Jack Shen enrolled in Medicare?

Yes. Jack Shen 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.

What insurance does Jack Shen accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Jack Shen 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.

Is Jack Shen affiliated with any hospitals?

According to CMS data, Jack Shen is affiliated with Wellstar Kennestone Regional Medical Center and Wellstar North Fulton Hospital.

When was this NPI record last updated?

The NPPES record for Jack Shen was last updated on August 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.