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

Edan Shapiro, MD

Individual provider Urology Physician · NPI 1407090459

Edan Shapiro, MD is an Urology in Fayetteville, Georgia. Graduated from Albert Einstein College of Medicine of Yeshiva University in 2009, 17 years ago. Practices with Georgia Urology, PA, a 100-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
17
Trained at
Albert Einstein College of Medicine of Yeshiva University
Licensed in
GA
In the registry since
2009
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

1336 Highway 54 W Bldg 200
Fayetteville, GA 30214-4535
Phone: (770) 460-9777
Fax: (770) 460-0650
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 73486 (GA)

Record details

NPI number1407090459
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 21, 2009
Last updated in NPPESJune 19, 2015
Mailing address1930 Brannan Rd, McDonough, GA 30253-4310

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Graduated 2009 (17 years in practice)
Group practice Georgia Urology, Pa — 100 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations11 on file with Medicare

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