INQUASHIA LATRICE SHAW MD
NPI 1962039909
Pediatrics in Oakwood, GA

Active since March 26, 2020PECOS EnrolledAccepts Medicare Assignment
4019 EXECUTIVE DR, OAKWOOD, GA 30566(770) 533-6500 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 4, 2026, Aug 17, 2023, Jul 28, 2023 and 2 more (5 updates tracked since 2020).

About Inquashia Latrice Shaw Md NPPES

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

INQUASHIA LATRICE SHAW MD (NPI 1962039909) is an individual pediatrics provider in Oakwood, Georgia, licensed in Georgia (96412) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of University Of South Carolina School Of Medicine, Greenville (2020).

NPPES Registry Identity

NPI1962039909
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameINQUASHIA LATRICE SHAWCredential: MD
Location Address4019 EXECUTIVE DROakwood, GA 30566-2825
Mailing AddressPo Box 1060Oakwood, GA 30566-0018 · (770) 718-1122
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of Medicine, GreenvilleGraduated 2020
Enumeration DateMarch 26, 2020
Last NPPES UpdateFebruary 4, 20265 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2026
✔ NPI 1962039909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 96412
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4019 EXECUTIVE DR, Oakwood, GA 30566

Secondary Practice Locations 4

Location 14095 S Lee StBuford, GA 30518-3647 · Phone (770) 932-8519 · Fax (770) 533-4798
Location 2725 Jesse Jewell Pkwy SEGainesville, GA 30501-3834 · Phone (770) 535-3611 · Fax (770) 535-7092
Location 31270 Friendship RdBraselton, GA 30517-5630 · Phone (678) 207-4200 · Fax (770) 533-4771
Location 4155 Professional DrBaldwin, GA 30511-4000 · Phone (706) 776-2368 · Fax (706) 776-2589

Accepted 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

Inquashia Latrice Shaw Md 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 ID2163886862
PECOS Enrollment IDI20230914000174
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 Inquashia Shaw reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
725 JESSE JEWELL PKWY SE
Gainesville, GA 30501
  • Reassigned Medicare billing, Georgia enrollment
  • 170 clinicians in this Medicare group
Internal Medicine
743 SPRING ST NE
Gainesville, GA 30501
  • Reassigned Medicare billing, Georgia enrollment
  • 161 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30566 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

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 Inquashia Shaw's NPI number?

The NPI number for Inquashia Shaw is 1962039909. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Where is Inquashia Shaw located?

Inquashia Shaw practices at 4019 Executive Dr, Oakwood, GA 30566. The listed phone number is (770) 533-6500.

What is Inquashia Shaw's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Inquashia Shaw enrolled in Medicare?

Yes. Inquashia Shaw 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 Inquashia Shaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Inquashia Shaw reassigns Medicare benefits to 2 organizations: The Longstreet Clinic, PC (Gainesville, GA) and Northeast Georgia Community Physicians LLC (Gainesville, 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 Inquashia Shaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Inquashia Shaw accept?

Health plans from Alliant Health Plans, Inc. list Inquashia 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 Inquashia Shaw was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.