Individual provider Active NPI

Abdul Hafeez, MD

  • Procedural Dermatology Physician
  • Lawrenceville, GA
National Provider Identifier
1023082005
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
47327 Issued in GA
Practice address
721 Wellness Way Ste 210
Lawrenceville, GA 30046-3304
Phone
(770) 682-2500
Fax
(770) 682-2014
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X 47327 GA Primary

Addresses

Primary practice location

721 Wellness Way Ste 210
Lawrenceville, GA 30046-3304

Mailing address

721 Wellness Way Ste 210
Lawrenceville, GA 30046-3304
Phone (770) 682-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20061129000377 GA Practitioner - Dermatology 8729086772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Dermatology, LLCGroup PAC ID 1052447307, 2 clinicians

Practice addresses (Care Compare)

721 Wellness Way
Suite 210
Lawrenceville, GA 30046-3304
Phone (770) 682-2500

Hospital & facility affiliations

  • Northside Hospital Gwinnett Hospital, Lawrenceville, GA, CCN 110087

Merit-based Incentive Payment System (MIPS)

Final score
98.82 of 100Reported as individual
Quality
97.64
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision36
Removal of skin lesions541
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy601

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
47327GAMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Dermatology, LLC Procedural Dermatology CurrentSince Jan 19, 2010 Accepting new patients
Physicians and Allied Health Professionals Group, PA Past Accepting new patients
Dermatology Associates of Georgia, LLC PastSince Jan 1, 1999 Accepting new patients
Advanced Dermatology of Georgia, LLC PastSince Oct 1, 2015 Accepting new patients

Locations

631 Professional Dr
Ste 110
Lawrenceville, GA 30046
Phone (770) 682-2500

721 Wellness Way
Ste 210
Lawrenceville, GA 30046
Phone (678) 442-1161

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1023082005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 WELLNESS WAY STE 210",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300463304",
            "telephone_number": "770-682-2500",
            "fax_number": "770-682-2014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 WELLNESS WAY STE 210",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300463304",
            "telephone_number": "770-682-2500",
            "fax_number": "770-682-2014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFEEZ",
        "first_name": "ABDUL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "GA",
            "license": "47327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.