Individual provider Active NPI

Syed Nayer

  • Psychiatric/Mental Health Nurse Practitioner
  • Cumming, GA
National Provider Identifier
1134870355
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN325228 Issued in GA
Practice address
3850 Windermere Pkwy Ste 105
Cumming, GA 30041-7033
Phone
(678) 455-2800
NPI assigned
Jan 11, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11017259 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11017259 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN325228 GA Primary

Addresses

Primary practice location

3850 Windermere Pkwy Ste 105
Cumming, GA 30041-7033

Mailing address

3850 Windermere Pkwy Ste 105
Cumming, GA 30041-7033
Phone (678) 455-2800

Other practice location 1

102 Park Place Blvd Ste D1
Kissimmee, FL 34741-2358
Phone (407) 851-5121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231010000449 FL Practitioner - Nurse Practitioner 8921453093 Reassigns benefits to 1 organization
I20240116000425 GA Practitioner - Nurse Practitioner 8921453093 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northside Primary Care Professional Services,LLCGroup PAC ID 9638343924, 313 clinicians

Practice addresses (Care Compare)

3850 Windermere Pkwy
Suite 105
Cumming, GA 30041-7002
Phone (678) 455-2800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11017259FLMDPsychiatric/Mental Health Nurse Practitioner
RN325228GAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Primary Care Professional Services, LLC CurrentSince Dec 11, 2023 Accepting new patients
Northside Primary Care Professional Services,LLC CurrentSince Dec 11, 2023 Accepting new patients
Yusra Medical Associates P.a. CurrentSince Jan 14, 2024 Accepting new patients

Locations

3020 Park Pond Way
Kissimmee, FL 34741
Phone (407) 530-4928

3850 Windermere Pkwy
Ste 105
Cumming, GA 30041
Phone (678) 455-2800

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

3350 Paddocks Pkwy
Suwanee, GA 30024
Phone (678) 474-9633

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DGEDAD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1134870355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 WINDERMERE PKWY STE 105",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417033",
            "telephone_number": "678-455-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 WINDERMERE PKWY STE 105",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417033",
            "telephone_number": "678-455-2800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Park Place Blvd Ste D1",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347412358",
            "country_code": "US",
            "telephone_number": "407-851-5121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAYER",
        "first_name": "SYED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-11",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11017259",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11017259",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN325228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.