Active NPI
Nizar Ali Tejani, MD
- Internal Medicine Physician
- Stockbridge, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036302
- Practice address
- 1004 Hospital Drive
Stockbridge, GA 30281 - Phone
- (770) 507-9929
- Fax
- (770) 507-9930
- NPI assigned
- Sep 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036302 | GA | Primary |
| Infectious Disease Physician | 207RI0200X | 036302 | GA |
Addresses
Primary practice location
1004 Hospital Drive
Stockbridge, GA 30281
Mailing address
1004 Hospital Drive
Stockbridge, GA 30281
Phone (770) 507-9929
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000526666B | Medicaid | GA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1004 Hospital Dr
Stockbridge, GA 30281-7384
Phone (770) 507-9929
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nizar a. Tejani MD. PC | Infectious Disease | Current | Accepting new patients |
| Northeast Georgia Physicians Group Inc | Internal Medicine | Current | Accepting new patients |
Locations
743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915
597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275
1004 Hospital Dr
Stockbridge, GA 30281
Phone (770) 507-9929
Organizations & group practices 2
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.
-
- Infectious Disease Physician
- Stockbridge, GA
- NPI 1548444748
-
- Family Medicine Physician
- Gainesville, GA
- NPI 1891745212
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346025600000",
"number": "1043311459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 HOSPITAL DRIVE",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "30281",
"telephone_number": "770-507-9929",
"fax_number": "770-507-9930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1004 HOSPITAL DRIVE",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "30281",
"telephone_number": "770-507-9929",
"fax_number": "770-507-9930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEJANI",
"first_name": "NIZAR",
"middle_name": "ALI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2012-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "036302",
"primary": true
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "GA",
"license": "036302",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000526666B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stockbridge, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.