Priya Shah, M.D.
NPI 1154716405 · Family Medicine Physician · Dawsonville, GA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Priya Shah, M.D. is a Family Medicine Physician provider in Dawsonville, GA (NPI 1154716405).
Provider details
- NPI number
- 1154716405
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 80374 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
11 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
4,205 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Chronic Care Management Services, First 20 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month99490 | 539 | $62 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 312 | $8 |
| Blood Test, Comprehensive Group of Blood Chemicals80053 | 299 | $10 |
| Complete Blood Cell Count (red Cells, White Blood Cell, Platelets), Automated Test and Automated Differential White Blood Cell Count85025 | 293 | $7 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 271 | $119 |
| Blood Test, Lipids (cholesterol and Triglycerides)80061 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 117 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Varicella-Zoster Ge/As01b/Pfbrand: Shingrix | 572 | 521 |
| Atorvastatin Calcium | 267 | 101 |
| Amlodipine Besylate | 225 | 88 |
| Levothyroxine Sodium | 207 | 76 |
| Losartan Potassium | 185 | 66 |
| Lisinopril | 175 | 66 |
| Metformin Hcl |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$89 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-04-03
- Last updated
- 2025-08-07
- Certified
- 2025-08-07
Frequently asked questions
- What is Priya Shah's NPI number?
- Priya Shah's National Provider Identifier (NPI) is 1154716405, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Priya Shah's specialty?
- Priya Shah is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Priya Shah located?
- Priya Shah's practice location on file with NPPES is 204 Dawson Village Way S, Dawsonville, GA 30534-5629.
- What is Priya Shah's phone number?
- The practice phone number listed in the NPPES registry for Priya Shah is (770) 268-4360.
- Does Priya Shah accept Medicare?
- Priya Shah is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Priya Shah's NPI active?
- Yes — Priya Shah's NPI (1154716405) is active in the NPPES registry as of the last update on 2025-08-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.