Individual ProviderNirvi ShahInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1270 Prince Ave, Suite 201, Athens, GA 30606(706) 475-7055PECOS EnrollmentBased on the most recent information from CMS, provider Nirvi Shah is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records today at 4:18 PM.Profile DetailsProvider ID1730676602Provider TypeIndividualFull NameShah, NirviGenderFemaleSole ProprietorNoEnumeration Date4/17/2018Last Updated7/8/2022Contact InformationPractice LocationPractice Address1270 Prince Ave, Suite 201, Athens, GA 30606Phone(706) 475-7055FaxUnlisted FaxMailing LocationMailing Address1199 Prince Ave #70, Athens, GA 30606PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseMD61176395Washington