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

Dr. John A Shivdat, DO

Individual provider Emergency Medicine Physician · NPI 1376599746

Dr. John A Shivdat, DO is an Emergency Medicine in Perry, Georgia. Graduated from Rowan University School of Osteopathic Medicine in 1993, 33 years ago. Practices with Middlesex Emergency Physicians, PA, a 40-clinician group and accepts Medicare assignment. Licensed in Georgia and New Jersey.

Years since qualifying
33
Trained at
Rowan University School of Osteopathic Medicine
Licensed in
GA, NJ
In the registry since
2006
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1120 Morningside Dr
Perry, GA 31069-2906
Phone: (478) 988-1706
Fax: (478) 988-1794
Show map & directions

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 25MB06152500 (NJ)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 47527 (GA)

Record details

NPI number1376599746
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMay 26, 2006
Last updated in NPPESMarch 3, 2023
Certification dateMarch 3, 2023
Mailing address1074 Grand Oaks Gln Nw, Marietta, GA 30064-5423

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolROWAN UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE
Graduated 1993 (33 years in practice)
Group practice Middlesex Emergency Physicians, P.A. — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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