Active NPI
Ayman M. Rifai, M.D.
- Pediatrics Physician
- Dalton, GA
National Provider Identifier
1114016086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 37896
- Practice address
- 1610 Broadrick Dr
Dalton, GA 30720-3012 - Phone
- (706) 279-1994
- Fax
- (706) 279-9229
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 37896 | GA | Primary |
Addresses
Primary practice location
1610 Broadrick Dr
Dalton, GA 30720-3012
Mailing address
1610 Broadrick Dr
Dalton, GA 30720-3012
Phone (706) 279-1994
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37896 | GA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prime Pediatrics PC | Past | Accepting new patients | |
| Hamilton Medical Center, Inc. | Past | Accepting new patients |
Interoperability endpoints
- arifai@primepediatrics.opdirect.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Dalton, GA
- NPI 1528056066
-
- Pediatric Adolescent Medicine Physician
- Dalton, GA
- NPI 1053578450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1114016086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1610 BROADRICK DR",
"city": "DALTON",
"state": "GA",
"postal_code": "307203012",
"telephone_number": "706-279-1994",
"fax_number": "706-279-9229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1610 BROADRICK DR",
"city": "DALTON",
"state": "GA",
"postal_code": "307203012",
"telephone_number": "706-279-1994",
"fax_number": "706-279-9229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIFAI",
"first_name": "AYMAN",
"middle_name": "M.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "37896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dalton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.