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

Shahin Etebar, MD

Individual provider Family Medicine Physician · NPI 1194721308

Shahin Etebar, MD is a Neurosurgery in Columbus, Georgia. Graduated from University of California, Irvine, California College of Medicine in 1990, 36 years ago. Practices with Sgmc Physician Network Inc, a 127-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Georgia.

Years since qualifying
36
Trained at
University of California, Irvine, California College of Medicine
Licensed in
CA, GA
In the registry since
2005
Specialties on file
3
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

1538 13th Ave Ste B300
Columbus, GA 31901-2563
Phone: (706) 321-9300
Fax: (706) 243-1284
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Moody Afb, Apo, AA 31699 — (229) 257-3774

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence 89571 (GA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 89571 (GA)
Neurological Surgery Physician Taxonomy 207T00000X · Licence G72753 (CA)

Record details

NPI number1194721308
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 22, 2005
Last updated in NPPESOctober 31, 2022
Certification dateOctober 25, 2022
Mailing address1538 13th Ave Ste B300, Columbus, GA 31901-2563

Medicare enrollment

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

Medicare specialtyNEUROSURGERY
Medical schoolUNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Graduated 1990 (36 years in practice)
Group practice Sgmc Physician Network Inc — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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