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DR. SHADY MOUNIR ELDAIF M.D.
NPI 1790969111
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Atlanta, GA

Active since December 20, 2007PECOS EnrolledAccepts Medicare Assignment
960 JOHNSON FY RD NE, STE. 100, ATLANTA, GA 30342(404) 252-9063(404) 252-0873 Get Directions Write a Review

NPPES record last updated: October 19, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 19, 2020, Jan 10, 2017 (2 updates tracked since 2017).

About Dr. Shady Mounir Eldaif M.d. NPPES

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

DR. SHADY MOUNIR ELDAIF M.D. (NPI 1790969111) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Atlanta, Georgia, licensed in Georgia (066029) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS, is affiliated with Southeastern Regional Medical Center, Inc, and is a graduate of Emory University School Of Medicine (2004).

NPPES Registry Identity

NPI1790969111
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDR. SHADY MOUNIR ELDAIFCredential: M.D.
Location Address960 JOHNSON FY RD NE, STE. 100Atlanta, GA 30342-1631
Mailing Address960 Johnson Fy Rd Ne, Ste. 100Atlanta, GA 30342-1631 · (404) 252-9063 · Fax (404) 252-0873
Phone(404) 252-9063
Fax(404) 252-0873
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2004
Enumeration DateDecember 20, 2007
Last NPPES UpdateOctober 19, 20202 updates tracked since enumeration
NPPES CertifiedOctober 19, 2020
✔ NPI 1790969111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in GA · 066029
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
960 JOHNSON FY RD NE, Atlanta, GA 30342
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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Shady Mounir Eldaif M.d. 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 ID6800015660
PECOS Enrollment IDI20140910001562
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Shady Eldaif reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wellstar Medical Group, LLC
5.6 mi
Family Medicine
1010 JOHNSON FERRY RD
Marietta, GA 30068
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group
NPI 1053617621 (770) 973-7302
City Of Hope Medical Group Of Georgia LLC
43 mi
Internal Medicine
600 CELEBRATE LIFE PARKWAY
Newnan, GA 30265
  • Reassigned Medicare billing, Georgia enrollment
  • 448 clinicians in this Medicare group
NPI 1447520333 (847) 746-4333

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

Removal of lymph nodes of chest cavity using an endoscope 32674
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to access and remove lymph nodes in the chest cavity. It's a minimally invasive method, which can help in diagnosing or treating certain conditions.
21 services21 patients
Exam of lung with removal of lung lobe using an endoscope 32663
This is a procedure where an endoscope, a thin tube with a light and camera, is used to examine the lung and remove a lobe if necessary. It's less invasive than traditional surgery, resulting in shorter recovery time.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Southeastern Regional Medical Center, Inc

Acute Care Hospitals · Newnan, GA
5/5 CMS rating
OwnershipProprietary
CMS Certification Number110233
Location600 Celebrate Life Parkway NorthNewnan, GA 30265 · Coweta County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30342 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
$172.43 typical visit price
range $56.84 – $172.43
Typical copayment $43.10 (range $14.21 – $43.10)
Most-billed visit code 99205
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 7

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

LEGACY WOMEN'S HEALTHCARE, PC
Clinic/Center (Medical Specialty)
960 JOHNSON FY RD NE, SUITE 215
ATLANTA, GA 30342
Fulton County (404) 583-1898
KAYANA MCLARTY NP
Nurse Practitioner
960 JOHNSON FY RD NE
ATLANTA, GA 30342
Fulton County (404) 300-2990
MITHUN SAM DANIEL D. O.
Family Medicine
960 JOHNSON FY RD NE, SUITE 300
ATLANTA, GA 30342
Fulton County (404) 255-7325
DR. STEVEN RICHARD BOMELI M.D.
Otolaryngology
960 JOHNSON FY RD NE, SUITE 200
ATLANTA, GA 30342
Fulton County (404) 943-0900
TANEISHA WARREN-PARKINSON DNP
Nurse Practitioner (Acute Care)
960 JOHNSON FY RD NE
ATLANTA, GA 30342
Fulton County (404) 257-0006
DR. JENNIFER MCCOY LYMAN MD
Obstetrics & Gynecology
960 JOHNSON FY RD NE, STE 400
ATLANTA, GA 30342
Fulton County (404) 257-0170
MISS SUJATHA NMN REDDY MD
Obstetrics & Gynecology (Gynecology)
960 JOHNSON FY RD NE, STE 400
ATLANTA, GA 30342
Fulton County (404) 257-0170

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 Shady Eldaif's NPI number?

The NPI number for Shady Eldaif is 1790969111. It was assigned to this individual provider in the NPPES registry on December 20, 2007.

Where is Shady Eldaif located?

Shady Eldaif practices at 960 Johnson Fy Rd NE Ste. 100, Atlanta, GA 30342. The listed phone number is (404) 252-9063.

What is Shady Eldaif's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Shady Eldaif enrolled in Medicare?

Yes. Shady Eldaif 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.

Which organizations bill Medicare for Shady Eldaif's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shady Eldaif reassigns Medicare benefits to 2 organizations: Wellstar Medical Group, LLC (Marietta, GA) and City Of Hope Medical Group Of Georgia LLC (Newnan, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shady Eldaif's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shady Eldaif 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 Shady Eldaif 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 Shady Eldaif affiliated with any hospitals?

According to CMS data, Shady Eldaif is affiliated with Southeastern Regional Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Shady Eldaif was last updated on October 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.