Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Anita Kanithahalli Shetty, MD

Individual provider Dermatology Physician · NPI 1649477035

Dr. Anita Kanithahalli Shetty, MD is a Dermatology in Marietta, Georgia. Graduated from Medical College of Georgia School of Medicine in 2007, 19 years ago. Practices with Dermatology Affiliates LLC, a 14-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
19
Trained at
Medical College of Georgia School of Medicine
Licensed in
GA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

835 Cogburn Ave NW Ste 100
Marietta, GA 30060-1031
Phone: (770) 422-5557
Fax: (770) 422-5456
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 068558 (GA)

Record details

NPI number1649477035
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 28, 2007
Last updated in NPPESJanuary 30, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Dermatology Affiliates Llc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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