Active NPI
Fadi Ahmad Hijazi, M.D.
- Specialist
- Columbus, GA
National Provider Identifier
1124109087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 66501
- Practice address
- 2032 Wynnton Road Suite a
Columbus, GA 31906-2483 - Phone
- (706) 322-8820
- Fax
- (706) 322-8850
- NPI assigned
- Oct 18, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 66501 | GA | Primary |
Addresses
Primary practice location
2032 Wynnton Road Suite a
Columbus, GA 31906-2483
Mailing address
6500 Whittlesey Blvd #220
Columbus, GA 31909-2483
Phone (607) 207-7631
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003112813A | Medicaid | GA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002726 | NY | MD | Music Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidney & Hypertension, Associates | Specialist | Current | Accepting new patients |
| Advantagehealth Medical Services, PC | Past | Accepting new patients |
Locations
2032 Wynnton Rd
Ste A
Columbus, GA 31906
Phone (706) 322-8820
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.
-
- Specialist
- Columbus, GA
- NPI 1326109364
-
- Nephrology Physician
- Elmira, NY
- NPI 1558342477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346716800000",
"number": "1124109087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6500 WHITTLESEY BLVD #220",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319092483",
"telephone_number": "607-207-7631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2032 WYNNTON ROAD SUITE A",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319062483",
"telephone_number": "706-322-8820",
"fax_number": "706-322-8850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIJAZI",
"first_name": "FADI",
"middle_name": "AHMAD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2012-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "GA",
"license": "66501",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003112813A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.