Individual provider Active NPI

Sasha Hyatt Wahab, MD, MA

  • Radiation Oncology Physician
  • Stockbridge, GA
National Provider Identifier
1053438762
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
060627 Issued in GA
Practice address
1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085
Phone
(770) 228-3737
Fax
(770) 228-9334
NPI assigned
Mar 26, 2007
Last updated
Dec 27, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 060627 GA Primary

Addresses

Primary practice location

1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085

Mailing address

255 Professional CT
Riverdale, GA 30274-2531
Phone (770) 997-8424

Other practice location 1

745 Poplar Rd
Newnan, GA 30265-1618
Phone (770) 400-4700

Other practice location 2

1255 Highway 54 W
Fayetteville, GA 30214-4526
Phone (770) 719-5850

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081104000547 GA Practitioner - Radiation Oncology 4385703487 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Washington University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapeutic Radiation Oncology, PCGroup PAC ID 2163325812, 8 clinicians

Practice addresses (Care Compare)

1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085
Phone (678) 251-1099

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Newnan Regional Radiation Therapy Center, Inc. Radiation Oncology Current Accepting new patients
Griffin Regional Radiation Therapy Center, Inc. Radiation Oncology Current Accepting new patients
City of Hope Medical Group of Georgia LLC Radiation Oncology CurrentSince Oct 16, 2012 Accepting new patients
Therapeutic Radiation Oncology, PC Radiation Oncology CurrentSince Jan 2, 2010 Accepting new patients
Cobb Center for Radiation Therapy, Inc. Radiation Oncology Current Accepting new patients
Dekalb Medical Specialty Care Group LLC Radiation Oncology Past Accepting new patients
Henry Radiation Oncology Center, LLC Radiation Oncology PastSince Jul 1, 2010 Accepting new patients
Dekalb Medical Hospitalists LLC Past Accepting new patients

Locations

1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222

1700 Hospital South Dr
Ste 202
Austell, GA 30106
Phone (770) 793-7440

1800 Hospital South Dr
Austell, GA 30106
Phone (770) 793-7196

1255 Highway 54 W
Fayetteville, GA 30214
Phone (770) 719-6911

725 S 8th St
Griffin, GA 30224
Phone (404) 222-9411

600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334

745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785

255 Professional Ct
Riverdale, GA 30274
Phone (770) 907-0554

275 Professional Ct
#B
Riverdale, GA 30274
Phone (770) 907-0554

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

62742 Collections Ctr Dr
Chicago, IL 60693

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1053438762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 PROFESSIONAL CT",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742531",
            "telephone_number": "770-997-8424",
            "fax_number": "770-997-8449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 EAGLES LANDING PKWY",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815085",
            "telephone_number": "770-228-3737",
            "fax_number": "770-228-9334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "745 Poplar Rd",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "302651618",
            "country_code": "US",
            "telephone_number": "770-400-4700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1255 Highway 54 W",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "GA",
            "postal_code": "302144526",
            "country_code": "US",
            "telephone_number": "770-719-5850",
            "fax_number": "770-719-5849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAHAB",
        "first_name": "SASHA",
        "middle_name": "HYATT",
        "name_prefix": "Dr.",
        "credential": "MD, MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "GA",
            "license": "060627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.