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

Richard D Shack, MD

Individual provider Family Medicine Physician · NPI 1942313572

Richard D Shack, MD is a Family Practice in Alpharetta, Georgia. Graduated from University of Alabama School of Medicine in 1998, 28 years ago. Practices with Southeast Medical Group, PC, a 138-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Alabama and Georgia.

Years since qualifying
28
Trained at
University of Alabama School of Medicine
Licensed in
AL, GA
In the registry since
2006
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

3400 C Old Milton Pkwy Ste 270
Alpharetta, GA 30005
Phone: (770) 442-1911
Fax: (770) 663-8905
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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 061856 (GA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 22858 (AL)

Record details

NPI number1942313572
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 17, 2006
Last updated in NPPESJune 9, 2015
Mailing address3400 C Old Milton Parkway, Suite 270, Alpharetta, GA 30005

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduated 1998 (28 years in practice)
Group practice Southeast Medical Group, P.C. — 138 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Alpharetta