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

Shivan H Amin, MD

Individual provider Otolaryngology Physician · NPI 1275857542

Shivan H Amin, MD is an Otolaryngology in Atlanta, Georgia. Graduated from Medical College of Georgia School of Medicine in 2007, 19 years ago. Practices with Origin Healthcare LLC, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and Georgia.

Years since qualifying
19
Trained at
Medical College of Georgia School of Medicine
Licensed in
CA, GA
In the registry since
2010
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

1120 Curran St NW Ste 101
Atlanta, GA 30318-5430
Phone: (404) 228-9961
Fax: (404) 973-2901
Show map & directions

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

Specialties & licences

Otolaryngology/Facial Plastic Surgery Physician (primary) Taxonomy 207YX0905X · Licence 67525 (GA)
Otolaryngology Physician Taxonomy 207Y00000X · Licence A108630 (CA)

Record details

NPI number1275857542
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 16, 2010
Last updated in NPPESOctober 31, 2024
Certification dateOctober 29, 2024

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Also practisesPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Origin Healthcare Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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