SHIMA LAVIGNO PA-C
NPI 1679855001
Physician Assistant - Medical in Suwanee, GA
About Shima Lavigno Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHIMA LAVIGNO PA-C (NPI 1679855001) is an individual medical provider in Suwanee, Georgia, licensed in Georgia (6185) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shima Lavigno Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
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.
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 Shima Lavigno's NPI number?
The NPI number for Shima Lavigno is 1679855001. It was assigned to this individual provider in the NPPES registry on September 12, 2011. The provider is also known as Shima Mansouri.
Where is Shima Lavigno located?
Shima Lavigno practices at 3890 Johns Creek Pkwy Ste 120, Suwanee, GA 30024. The listed phone number is (678) 472-9985.
What is Shima Lavigno's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Shima Lavigno enrolled in Medicare?
Yes. Shima Lavigno is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Shima Lavigno was last updated on April 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Shima Lavigno, PA-C · NPI 1679855001
Medical physician in Suwanee, Georgia. Individual provider, active in the CMS NPPES registry since September 12, 2011.
## Identity
- **NPI:** 1679855001 (Entity type: Individual)
- **Enumerated:** September 12, 2011
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 6185 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 3890 JOHNS CREEK PKWY STE 120, Suwanee, GA 30024-1285
- **Phone:** (678) 472-9985
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 27, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1679855001) · Data from the CMS NPPES public registry.