Shiraz Kassam, M.D.
Shiraz Kassam, M.D. is a Gynecology Physician in Conyers, GA, registered under NPI 1265401020. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 1380 MILSTEAD AVE NE STE B, Conyers, GA 30012. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 21321 | GA | Gynecology Physician primary |
| 21321 | GA | Obstetrics & Gynecology Physician |
| 21321 | GA | Obstetrics Physician |
This provider holds licence 21321 issued in GA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Gynecology covers
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. NUCC Health Care Provider Taxonomy, code 207VG0400X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207VG0400X | Gynecology Physician Gynecology | 21321 | GA | primary |
| 207V00000X | Obstetrics & Gynecology Physician | 21321 | GA | |
| 207VX0000X | Obstetrics Physician Obstetrics | 21321 | GA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1265401020 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Mar 15, 2006 |
| Last updated | Jul 21, 2022 |
| Status | Active |
| Sole proprietor | Yes |
| Gender | Male |
| Credential | M.D. |
| Practice address |
1380 MILSTEAD AVE NE STE B Conyers, GA 30012 (770) 922-2424 Fax (770) 922-8782 |
| Other identifiers |
000190506B
· Medicaid (GA) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 2 | 6 | 5 | 4 | 0 | 1 | 0 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 2 | 3 | 5 | 8 | 0 | 2 | 0 | 4 |
Sum = 50 · next multiple of 10 = 50 · check digit = 0 · actual last digit = 0
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.