Organization Active NPI

Gulzar B. Kassam, MD, P.C.

  • Obstetrics Physician
  • Decatur, GA
National Provider Identifier
1043493547
Registry record updated Jun 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
Legal business name
GULZAR B. KASSAM, MD, P.C.
Practice address
2665 N Decatur Rd
Suite 255
Decatur, GA 30033-6149
Phone
(678) 904-1150
Fax
(404) 501-7713
NPI assigned
Dec 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2015

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

Authorized official

Name
Mrs. Stephanie Denise Lemons
Title
Billing MGR
Phone
(678) 904-1150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VX0000X Primary

Addresses

Primary practice location

2665 N Decatur Rd
Suite 255
Decatur, GA 30033-6149

Mailing address

2665 N Decatur Rd
Suite 255
Decatur, GA 30033-6149
Phone (678) 904-1150

Other names 1

  • Peach State Womens Healthcare Associates Doing business as

National Provider Directory

National Provider Directory

Locations

550 Peachtree St NE
Ste 1060
Atlanta, GA 30308
Phone (404) 249-9244

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": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435190400000",
    "number": "1043493547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2665 N DECATUR RD",
            "address_2": "SUITE 255",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300336149",
            "telephone_number": "678-904-1150",
            "fax_number": "404-501-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2665 N DECATUR RD",
            "address_2": "SUITE 255",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300336149",
            "telephone_number": "678-904-1150",
            "fax_number": "404-501-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULZAR B. KASSAM, MD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2015-06-25",
        "status": "A",
        "authorized_official_last_name": "LEMONS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "BILLING MGR",
        "authorized_official_telephone_number": "678-904-1150",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peach State Womens Healthcare Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.