Active NPI
Nader C. Ghazal MD LLC
- Orthopaedic Surgery Physician
- Suwanee, GA
National Provider Identifier
1033879119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nader Ghazal, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1500 Peachtree Industrial Blvd
Ste 220
Suwanee, GA 30024
Phone (470) 266-1522
Interoperability endpoints
- 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.
-
- Orthopaedic Surgery Physician
- Suwanee, GA
- NPI 1699062133
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.