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

Dr. Jiyo Shin, MD

Individual provider Family Medicine Physician · NPI 1922282102

Dr. Jiyo Shin, MD is a Family Practice in Smyrna, Georgia. Qualified in 2001, 25 years ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
25
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

562 Concord Rd
Smyrna, GA 30080-6482
Phone: (770) 384-9860
Fax: (770) 384-9862
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 064968 (GA)

Record details

NPI number1922282102
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 23, 2007
Last updated in NPPESOctober 9, 2012
Mailing address562 Concord Road, Smyrna, GA 30080-6482

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Wellstar Medical Group Llc — 3072 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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