Organization Active NPI

Nader C. Ghazal MD LLC

  • Orthopaedic Surgery Physician
  • Suwanee, GA
National Provider Identifier
1033879119
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
NADER C. GHAZAL MD LLC
Practice address
1500 Peachtree Industrial Blvd Ste 220
Suwanee, GA 30024-8489
Phone
(470) 266-1522
Fax
(470) 266-1455
NPI assigned
Dec 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Authorized official

Name
Nader Ghazal, MDNPI 1699062133
Title
Owner
Phone
(470) 266-1522

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

1500 Peachtree Industrial Blvd Ste 220
Suwanee, GA 30024-8489

Mailing address

4732 Terquay CT
Suwanee, GA 30024-7523
Phone (201) 280-6423

Other names 1

  • Suwanee Orhopedic Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220321000053 GA Part B Supplier - Clinic/Group Practice 3375938863 Receives reassigned benefits from 1 practitioner
Practice locations: Gainesville, GA; Suwanee, GA

National Provider Directory

National Provider Directory

Locations

1500 Peachtree Industrial Blvd
Ste 220
Suwanee, GA 30024
Phone (470) 266-1522

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26197/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1640822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1033879119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4732 TERQUAY CT",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300247523",
            "telephone_number": "201-280-6423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 PEACHTREE INDUSTRIAL BLVD STE 220",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300248489",
            "telephone_number": "470-266-1522",
            "fax_number": "470-266-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NADER C. GHAZAL MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-30",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A",
        "authorized_official_last_name": "GHAZAL",
        "authorized_official_first_name": "NADER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-266-1522",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suwanee Orhopedic Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.