Sheba Naqvi, MD - Medicare Family Practice in Cumming, GA

Sheba Naqvi, MD is a medicare enrolled "Family Medicine" physician in Cumming, Georgia. She graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Georgia Family Care, Llc and her current practice location is 1230 Bald Ridge Marina Rd Ste 400, Cumming, Georgia. You can reach out to her office (for appointments etc.) via phone at (470) 826-1905.

Sheba Naqvi is licensed to practice in Georgia (license number 68922) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1093001018.

Contact Information

Sheba Naqvi, MD
1230 Bald Ridge Marina Rd Ste 400,
Cumming, GA 30041-7859
(470) 826-1905
(470) 826-3334

Map and Direction




Physician's Profile

Full NameSheba Naqvi
GenderFemale
SpecialityFamily Practice
Experience22 Years
Location1230 Bald Ridge Marina Rd Ste 400, Cumming, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Sheba Naqvi graduated from medical school in 2002
  NPI Data:
  • NPI Number: 1093001018
  • Provider Enumeration Date: 06/28/2011
  • Last Update Date: 02/09/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2163666280
  • Enrollment ID: I20130911000473

Medical Identifiers

Medical identifiers for Sheba Naqvi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093001018NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 68922 (Georgia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Sheba Naqvi allows following entities to bill medicare on her behalf.
Entity NameGeorgia Family Care, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912093584
PECOS PAC ID: 4284664657
Enrollment ID: O20050816000315
Entity NameWellstar Medical Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558664003
PECOS PAC ID: 6709065402
Enrollment ID: O20110127000374
Entity NameBald Ridge Family Practice Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437932019
PECOS PAC ID: 0648633008
Enrollment ID: O20230831004430

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sheba Naqvi is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sheba Naqvi, MD
1230 Bald Ridge Marina Rd Ste 400,
Cumming, GA 30041-7859

Ph: () -
Sheba Naqvi, MD
1230 Bald Ridge Marina Rd Ste 400,
Cumming, GA 30041-7859

Ph: (470) 826-1905

Reviews and Comments


Family Medicine Doctors in Cumming, GA

Rishita Patel, M.D.
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Dr. Jacob Varghese, M.D.
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Dr. Elizabeth C Vevera, M.D.
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Dr. Brinkley F Goodson, D.O.
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Phone: 770-887-1668    Fax: 770-781-9937
Anant Patel, D.O.
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Practice Location: 3970 Deputy Bill Cantrell Mem Ste 220, Cumming, GA 30040
Phone: 770-709-6922    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.