Qirrat Saleem Aamir, DMD
Individual provider Active NPI General Practice Dentistry · Athens, GA
NPI 1003514944 · NPPES record last updated Nov 10, 2024
Key facts
- NPI
- 1003514944
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DN123386 (GA)
- Practice address
- 402 McKinley Dr
Athens, GA 30601-3261 - Phone
- (706) 543-1145
- NPI assigned
- Feb 20, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241021001193 | GA | Practitioner - Dentist | 1850823485 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN123386 | GA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athens Model Neighborhood Health Center Inc | Current |
Accepting new patients | |
| Athens Model Neighborhood Health Center Inc | Current |
Accepting new patients |
Locations
870 Gaines School Rd
Athens, GA 30605
Phone (706) 546-7473
402 McKinley Dr
Athens, GA 30601
Phone (706) 543-1145
675 College Ave
Athens, GA 30601
Phone (706) 546-5526
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN123386 | GA | Yes |
Addresses
Primary practice location
402 McKinley Dr
Athens, GA 30601-3261
Mailing address
1838 Beckett CT
Lawrenceville, GA 30044-6113
Phone (404) 798-1218
Other practice location 1
870 Gaines School Rd
Athens, GA 30605-3132
Phone (706) 546-7463
Other providers in Athens, GA
- A 1 Motion Physical Therapy LLC
- A Bailey Host Home
- A Touch of Georgia Chiropractic Clinic
- A. J. Deutsch M.D. P.C.
- A.C.T. Home Care, Inc.
- Abc Pediatric Therapy Partners, Inc.
- Abdulmoiz Kaiser Abdulwali
- Ibipo Muinat Abdurraheem-Salami
- Abhs Supported Emp
- Oluwamisimi Mary Abib
All providers in Athens, GA · General Practice Dentistry in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.