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

Nikhil S Shah, MD

Individual provider Gastroenterology Physician · NPI 1104810027

Nikhil S Shah, MD is a Gastroenterology in Marietta, Georgia. Qualified in 1980, 46 years ago. Practices with Vincentian Physician Services LLC, a 81-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia and Tennessee.

Years since qualifying
46
Licensed in
GA, TN
In the registry since
2005
Specialties on file
2
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

780 Canton Rd NE Ste 328
Marietta, GA 30060-7289
Phone: (943) 610-0145
Show map & directions

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

Additional practice locations (1)

  • 2106 Ooltewah Ringgold Rd, Ooltewah, TN 37363-9345 — (423) 760-4360

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 100040 (GA)
Gastroenterology Physician Taxonomy 207RG0100X · Licence 36425 (TN)

Record details

NPI number1104810027
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 7, 2005
Last updated in NPPESApril 17, 2025
Certification dateApril 17, 2025

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Medical schoolOTHER
Graduated 1980 (46 years in practice)
Group practice Vincentian Physician Services Llc — 81 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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