Walid Radwan, M.D.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

97117 Issued in GA

Practice address

299 Hurricane Shoals Rd NW
Lawrenceville, GA 30046-4420

Phone

(770) 714-6677

NPI assigned

Apr 2, 2013

Last updated

Nov 5, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Multidisciplinary Health Solutions

  • Neurological Surgery Physician
  • Lawrenceville, GA
  • NPI 1205648359
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1013250588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 HURRICANE SHOALS RD NW",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464420",
            "telephone_number": "770-714-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 HURRICANE SHOALS RD NW",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464420",
            "telephone_number": "770-714-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADWAN",
        "first_name": "WALID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-02",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "GA",
            "license": "97117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel E. Christian, PH.D., P.C.
• Rachel Lacy, Psy.D., P.C.
• Ashley Nicole Rachel
• Melanie Allen Radford, SA-C
• Radius Surgery Center LLC
• Hayden Gwendolyn Raffety
• Nasim Rahimi, D.M.D
• Sarah Y Rahman
• Phil Raines III, PSYD
• Tomekia Holandia Raines, LMSW

• Neurological Surgery Physician in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Neurological Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.