Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Shayan Bagheri, PA-C

Individual provider Physician Assistant · NPI 1205678554

Mr. Shayan Bagheri, PA-C is a Physician Assistant in Cumming, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2024
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

204 Canton Rd
Cumming, GA 30040-2304
Phone: (770) 886-5437
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Medical Physician Assistant Taxonomy 363AM0700X (GA)

Record details

NPI number1205678554
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 8, 2024
Last updated in NPPESJune 18, 2024
Certification dateJune 18, 2024

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