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

Shany Cohen-Sadan

Individual provider Family Medicine Physician · NPI 1114505435

Shany Cohen-Sadan is a Family Practice in Cumming, Georgia. Qualified in 2005, 21 years ago. Practices with Northside Urgent Care Holding LLC, a 80-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
21
Licensed in
GA
In the registry since
2021
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Practice location Address checks out

610 Peachtree Pkwy Ste 130
Cumming, GA 30041-9778
Phone: (770) 205-2804
Fax: (770) 205-2854
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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 101590 (GA)

Record details

NPI number1114505435
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 30, 2021
Last updated in NPPESOctober 23, 2024
Certification dateOctober 23, 2024
Mailing address4561 Edgemere Trce, Marietta, GA 30062-5779

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Northside Urgent Care Holding Llc — 80 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Cumming