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

Dr. Jack Shen Jr., MD, MBS

Individual provider Neurology Physician · NPI 1639523574

Dr. Jack Shen Jr., MD, MBS is a Neurology in Roswell, Georgia. Graduated from Wake Forest University School of Medicine in 2016, 10 years ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia and Ohio.

Years since qualifying
10
Trained at
Wake Forest University School of Medicine
Licensed in
GA, OH
In the registry since
2016
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2500 Hospital Blvd Ste 440
Roswell, GA 30076-4919
Phone: (770) 663-4649
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 92491 (GA)
Neurology Physician Taxonomy 2084N0400X · Licence 35.138941 (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1639523574
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MBS
Sole proprietorNo
NPI enumeratedApril 18, 2016
Last updated in NPPESAugust 17, 2022
Certification dateAugust 17, 2022

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Wellstar Medical Group Llc — 3072 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

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