OrganizationActive
Shivdharaa LLC
NPI 1619688660 · Primary Care Nurse Practitioner · Lawrenceville, GA
Provider details
- NPI number
- 1619688660
- Entity type
- Organization
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Bijal Patel, Owner(678) 643-5580
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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 methodology.
Practice location
3639 Lawrenceville Hwy # 7
Lawrenceville, GA 30044-4107
Phone: (404) 940-2033
Street-level locationGet directions
Mailing address
2515 Haynes Club Cir
Grayson, GA 30017-2814
Other names (DBA / former)
- Doing business as
- Evolve Medical Care Clinic
- Doing business as
- Evolve Medical Care Clinic
Registry dates
- Enumerated
- 2022-12-12
- Last updated
- 2024-05-08
- Certified
- 2024-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.