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

Shanthan Pendem, MD

Individual provider Internal Medicine Physician · NPI 1659425817

Shanthan Pendem, MD is a Critical Care (Intensivists) in Braselton, Georgia. Qualified in 1997, 29 years ago. Practices with Piedmont Specialty Hospital Billing LLC, a 249-clinician group and accepts Medicare assignment. Licensed in Georgia and North Dakota.

Years since qualifying
29
Licensed in
GA, ND
In the registry since
2007
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

1400 River Pl
Braselton, GA 30517-5600
Phone: (770) 848-8000
Fax: (770) 848-8601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Medicine (Internal Medicine) Physician (primary) Taxonomy 207RC0200X · Licence 68271 (GA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 9882 (ND)

Record details

NPI number1659425817
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 23, 2007
Last updated in NPPESOctober 13, 2020
Certification dateOctober 13, 2020
Mailing addressPo Box 742616, Atlanta, GA 30374-2616

Medicare enrollment

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

Medicare specialtyCRITICAL CARE (INTENSIVISTS)
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Piedmont Specialty Hospital Billing Llc — 249 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Braselton