Individual provider Active NPI

Syed Tariq Mahmood, MD

  • Hematology & Oncology Physician
  • Atlanta, GA
National Provider Identifier
1124119573
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
081524 Issued in GA
Practice address
5670 Peachtree Dunwoody Rd Ste 1100
Atlanta, GA 30342
Phone
(404) 851-2300
Fax
(404) 851-2357
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 48689 MN
Hematology & Oncology Physician 207RH0003X ME105231 FL
Hematology & Oncology Physician 207RH0003X 081524 GA Primary

Addresses

Primary practice location

5670 Peachtree Dunwoody Rd Ste 1100
Atlanta, GA 30342

Mailing address

1100 Johnson Ferry Rd Ste 510
Sandy Springs, GA 30342-1743
Phone (404) 419-1165

Other practice location 1

3400C Old Milton Pkwy Ste 400
Alpharetta, GA 30005-4438
Phone (707) 740-9664

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tmahmood@atlantacancercare.direct.varian.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181217001839 GA Practitioner - Hematology/Oncology 0345246567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Albany Medical College of Union University, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NSH Cancer Institute Professional Services a, LLCGroup PAC ID 1557514247, 41 clinicians

Practice addresses (Care Compare)

5670 Peachtree Dunwoody Rd
Suite 1100
Atlanta, GA 30342-4795
Phone (404) 851-2300

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Atlanta, GA, CCN 117132
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161
  • Northside Hospital Forsyth Hospital, Cumming, GA, CCN 110005
  • Northside Hospital Cherokee Hospital, Canton, GA, CCN 110008
  • Emory University Hospital Midtown Hospital, Atlanta, GA, CCN 110078

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
48689MNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NSH Cancer Institute Professional Services a LLC Hematology & Oncology CurrentSince Dec 1, 2018 Accepting new patients
NSH Cancer Institute Professional Services a LLC CurrentSince Dec 1, 2018 Accepting new patients
NSH Cancer Institute Professional Services a LLC Past Accepting new patients
NSH Cancer Institute Professional Services a LLC Past Accepting new patients

Locations

3400 Old Milton Pkwy
Ste 400
Alpharetta, GA 30005
Phone (770) 667-7440

1498 Klondike Rd SW
Ste 106
Conyers, GA 30094
Phone (770) 761-7260

1100 Johnson Fy Rd NE
Ste 510
Sandy Springs, GA 30342
Phone (404) 419-1165

5670 Peachtree Dunwoody Rd
Ste 1100
Sandy Springs, GA 30342
Phone (404) 851-2300

Organizations & group practices 4

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1124119573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 JOHNSON FERRY RD STE 510",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303421743",
            "telephone_number": "404-419-1165",
            "fax_number": "404-419-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5670 PEACHTREE DUNWOODY RD STE 1100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30342",
            "telephone_number": "404-851-2300",
            "fax_number": "404-851-2357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400C Old Milton Pkwy Ste 400",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300054438",
            "country_code": "US",
            "telephone_number": "707-740-9664",
            "fax_number": "770-754-9464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHMOOD",
        "first_name": "SYED",
        "middle_name": "TARIQ",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "48689",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME105231",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "GA",
            "license": "081524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tmahmood@atlantacancercare.direct.varian.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Edge",
            "address_1": "3400C Old Milton Pkwy Ste 400",
            "city": "Alpharetta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300054438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.