Active NPI
Najam Azmat, M. D., P. C.
- Vascular Surgery Physician
- Waycross, GA
National Provider Identifier
1063474088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 056512
- Legal business name
- NAJAM AZMAT, M. D., P. C.
- Practice address
- 707 Confederate Way
Waycross, GA 31503-9490 - Phone
- (912) 338-9796
- NPI assigned
- Apr 5, 2006
- Last updated
- Feb 18, 2010
- 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
- Najam Azmat, M. D.
- Title
- President
- Phone
- (912) 338-9796
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 056512 | GA | Primary |
Addresses
Primary practice location
707 Confederate Way
Waycross, GA 31503-9490
Mailing address
707 Confederate Way
Waycross, GA 31503-9490
Phone (912) 338-9796
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 749349931A | Medicaid | GA | |
| 056512 | Other | GA | STATE LICENSE NUMBER |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Vascular Surgery Physician
- Waycross, GA
- NPI 1679575443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1266451200000",
"number": "1063474088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 CONFEDERATE WAY",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "315039490",
"telephone_number": "912-338-9796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 CONFEDERATE WAY",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "315039490",
"telephone_number": "912-338-9796"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NAJAM AZMAT, M. D., P. C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-05",
"last_updated": "2010-02-18",
"status": "A",
"authorized_official_last_name": "AZMAT",
"authorized_official_first_name": "NAJAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "912-338-9796",
"authorized_official_credential": "M. D."
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "GA",
"license": "056512",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "749349931A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "056512",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waycross, GA
- Megan Nicole Music
- Kaylee Davis Musselwhite, PT, DPT
- Marium Mustafa, MD
- Myeyedr Optometry of Georgia, LLC (MyEyeDr.)
- Myeyedr Optometry of Georgia, LLC (MyEyeDr.)
- Narquest Healthcare Services, LLC (Treatment Center of Waycross)
- National Vision, Inc. (Vision Center)
- Kalpana Nayak, M.D.
- Manel Dinesh Nayak, M.D.
- Jules M Nehmetallah, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.