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

Shibu Philip, MD

Individual provider Cardiovascular Disease Physician · NPI 1356430607

Shibu Philip, MD is a Cardiovascular Disease (Cardiology) in Fayetteville, Georgia. Qualified in 1998, 28 years ago. Practices with Piedmont Cardiology of Atlanta, LLC, a 479-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Georgia, North Carolina and Virginia.

Years since qualifying
28
Licensed in
GA, NC, VA
In the registry since
2006
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

1267 Highway 54 W Ste 2200
Fayetteville, GA 30214-2110
Phone: (770) 716-0051
Show map & directions

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

Additional practice locations (3)

  • 186 Kimel Park Dr, Winston Salem, NC 27103-6946 — (336) 277-2000
  • 3006 Webster St, Omaha, NE 68131-2027 — (402) 280-4235
  • 600 Gresham Dr, Norfolk, VA 23507-1904 — (757) 388-8870

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 98806 (GA)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 0101279895 (VA)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 2012-02030 (NC)

Record details

NPI number1356430607
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 12, 2006
Last updated in NPPESMay 16, 2024
Certification dateMay 16, 2024
Mailing addressPo Box 751803, Charlotte, NC 28275-1803

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Piedmont Cardiology Of Atlanta, Llc — 479 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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