Organization Active NPI

North Georgia Endocrinology

  • Endocrinology, Diabetes & Metabolism Physician
  • Johns Creek, GA
National Provider Identifier
1093336331
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
NORTH GEORGIA ENDOCRINOLOGY
Practice address
10475 Medlock Bridge Rd Ste 820
Johns Creek, GA 30097-4437
Phone
(678) 224-8686
NPI assigned
Apr 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Authorized official

Name
Anbar AhmadNPI 1861703159
Title
MD
Phone
(678) 224-8686

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)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

10475 Medlock Bridge Rd Ste 820
Johns Creek, GA 30097-4437

Mailing address

10475 Medlock Bridge Rd Ste 820
Johns Creek, GA 30097-4437
Phone (678) 224-8686

Other practice location 1

3180 N Point Pkwy Ste 302
Alpharetta, GA 30005-4381
Phone (678) 224-8686 ext. 67822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200623002847 GA Part B Supplier - Clinic/Group Practice 3678995503 Receives reassigned benefits from 5 practitioners
Practice locations: Alpharetta, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2217969North Georgia Endocrinology10475 Medlock Bridge Road, Suite 820, Johns Creek, GA 30097Certificate of waiverMar 24, 2027

National Provider Directory

National Provider Directory

Locations

10475 Medlock Bridge Rd
Ste 820
Johns Creek, GA 30097
Phone (678) 224-8686

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ECFCDD
  • FHIR API: https://api.platform.athenahealth.com/21702/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 6

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": "1588032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1093336331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10475 MEDLOCK BRIDGE RD STE 820",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300974437",
            "telephone_number": "678-224-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10475 MEDLOCK BRIDGE RD STE 820",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300974437",
            "telephone_number": "678-224-8686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3180 N Point Pkwy Ste 302",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300054381",
            "country_code": "US",
            "telephone_number": "678-224-8686 x67822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTH GEORGIA ENDOCRINOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-28",
        "last_updated": "2023-11-30",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "ANBAR",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "678-224-8686"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Creek, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.