KEITH BILLINGS SHAW DMD
NPI 1649610130
Dentist - General Practice in Decatur, GA

Active since June 27, 2013PECOS Enrolled
4324 COVINGTON HWY, DECATUR, GA 30035(404) 289-6454 Get Directions Write a Review

NPPES record last updated: June 27, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Keith Billings Shaw Dmd NPPES

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

KEITH BILLINGS SHAW DMD (NPI 1649610130) is an individual general practice provider in Decatur, Georgia, licensed in Georgia (DN014607) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649610130
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameKEITH BILLINGS SHAWCredential: DMD
Location Address4324 COVINGTON HWYDecatur, GA 30035-1208
Mailing Address2945 Rosebud Rd, #420Loganville, GA 30052-8947 · (208) 709-8782
Sole ProprietorNo
Enumeration DateJune 27, 2013
NPI 1649610130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in GA · DN014607
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X · License DN014607 (GA)
4324 COVINGTON HWY, Decatur, GA 30035

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Keith Billings Shaw Dmd 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 30035 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
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
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 8

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

Dentist (General Practice)
4324 COVINGTON HWY
DECATUR, GA 30035
Dentist
4324 COVINGTON HWY
DECATUR, GA 30035
Dentist (General Practice)
4324 COVINGTON HWY
DECATUR, GA 30035
Dentist (General Practice)
4324 COVINGTON HWY
DECATUR, GA 30035
Dentist
4324 COVINGTON HWY
DECATUR, GA 30035
Dentist (General Practice)
4324 COVINGTON HWY
DECATUR, GA 30035
Dentist (General Practice)
4324 COVINGTON HWY
DECATUR, GA 30035
Dentist (General Practice)
4324 COVINGTON HWY
DECATUR, GA 30035

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 Keith Shaw's NPI number?

The NPI number for Keith Shaw is 1649610130. It was assigned to this individual provider in the NPPES registry on June 27, 2013.

Where is Keith Shaw located?

Keith Shaw practices at 4324 Covington Hwy, Decatur, GA 30035. The listed phone number is (404) 289-6454.

What is Keith Shaw's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Keith Shaw enrolled in Medicare?

Yes. Keith Shaw is registered in the Medicare PECOS enrollment system.

What insurance does Keith Shaw accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Keith Shaw 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 Keith Shaw was last updated on June 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.