Shahzad Ahmed
Individual provider Active NPI Gastroenterology Physician · Lawrenceville, GA
NPI 1114260833 · NPPES record last updated Oct 15, 2024
Key facts
- NPI
- 1114260833
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- 81694 (GA)
- Practice address
- 721 Wellness Way Ste 100
Lawrenceville, GA 30046-3304 - Phone
- (770) 995-3113
- Fax
- (770) 277-2930
- NPI assigned
- Apr 1, 2013
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Gastroenterology
- Education
- University of Connecticut School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Gastroenterology Specialists of Gwinnett, P.C.
Practice addresses (Care Compare)
721 Wellness Way
Suite 100
Lawrenceville, GA 30046-8030
Phone (770) 995-3113
Hospital & facility affiliations
- Northside Hospital Gwinnett
- Piedmont Eastside Medical Center
- Northside Hospital Duluth
- Northside Hospital Forsyth
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.8 of 100
- Quality
- 65.98
- Promoting interoperability
- 90
- Improvement activities
- 40
- Cost
- 75.03
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 49 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 70 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200814002879 | GA | Practitioner - Gastroenterology | 1759680788 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Endoscopy Center, LLC | Current |
Accepting new patients | |
| Piedmont Providers LLC | Current |
Accepting new patients | |
| Gastroenterology Specialists of Gwinnett, P.C. | Current |
Accepting new patients | |
| Rocdale Physician Practices, LLC | Past |
Accepting new patients | |
| Gastrointestinal Endoscopy of Gwinnett, P.C. | Past | Accepting new patients |
Locations
1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210
1301 Sigman Rd NE
Ste 170
Conyers, GA 30012
Phone (678) 806-3690
3855 Pleasant Hill Rd
Ste 230
Duluth, GA 30096
Phone (770) 495-8300
721 Wellness Way
Ste 100
Lawrenceville, GA 30046
Phone (770) 995-3113
721 Wellness Way
Ste 110
Lawrenceville, GA 30046
Phone (770) 995-7923
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 81694 | GA | Yes |
Addresses
Primary practice location
721 Wellness Way Ste 100
Lawrenceville, GA 30046-3304
Mailing address
PO Box 102321
Atlanta, GA 30368-2321
Other providers in Lawrenceville, GA
- Ablavi Agomessou
- Rose Mary Aguilar
- Zaheer Ahammad
- Rehman Bienvenido Ahmad
- Hanan Ahmed
- Syeda Ahmed
- Zohair Ahmed
- Mohammed R Ahmeduddin
- Marik Ahn
- Ahp of Gwinnett, LLC
All providers in Lawrenceville, GA · Gastroenterology Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.