Waheed Ahmad Bhatti, MD
Individual provider Active NPI Internal Medicine Physician · Winder, GA
NPI 1043490253 · NPPES record last updated Aug 6, 2016
Key facts
- NPI
- 1043490253
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 60155 (GA)
- Practice address
- 133 W Athens St
Winder, GA 30680-1786 - Phone
- (770) 867-6633
- NPI assigned
- Nov 6, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Zam Zam Family Clinic LLC
Practice addresses (Care Compare)
965 Oakland Rd
Lawrenceville, GA 30044-3758
Phone (470) 818-8607
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150423001313 | GA | Practitioner - Internal Medicine | 4981755501 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60155 | GA | MD | Internal Medicine Physician |
| 47570 | AZ | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zam Zam Family Clinic LLC | Internal Medicine | Current |
Accepting new patients |
| Aylo Health, LLC | Family Medicine | Past | Accepting new patients |
| Aylo Health, LLC | Past | Accepting new patients | |
| Aylo Health, LLC | Family Medicine | Past | Accepting new patients |
| Aylo Health, LLC | Family Medicine | Past | Accepting new patients |
Locations
965 Oakland Rd
Ste 3D
Lawrenceville, GA 30044
Phone (770) 495-9775
965 Oakland Rd
Ste 3E
Lawrenceville, GA 30044
Phone (470) 818-8607
965 Oakland Rd
Ste D
Lawrenceville, GA 30044
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 47570 | AZ | |
| Hospitalist Physician | 208M00000X | 47570 | AZ | |
| Internal Medicine Physician | 207R00000X | 60155 | GA | Yes |
Addresses
Primary practice location
133 W Athens St
Winder, GA 30680-1786
Mailing address
PO Box 459
Colbert, GA 30628-0459
Phone (706) 788-3234
Other providers in Winder, GA
- Mary S. Bates
- Cheri Baumgartner
- Doug Porter Baxter
- Mark P Benner
- Stacy Berry
- Sheri Ann Bing
- Melissa Bishop
- Jenea Blackman
- Lee Lindsey Bleshoy
- Blue Blossom Care ABA Therapy LLLP
All providers in Winder, GA · Internal Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.