Active NPI
Gulzar B. Kassam, MD, P.C.
- Obstetrics Physician
- Decatur, GA
National Provider Identifier
1043493547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.