Almir Agic, PA-C
Individual provider Active NPI Physician Assistant · Marietta, GA
NPI 1134875206 · NPPES record last updated Apr 12, 2022
Key facts
- NPI
- 1134875206
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 10893 (GA)
- Practice address
- 115 Cherry St NE
Marietta, GA 30060-7205 - Phone
- (770) 793-5700
- NPI assigned
- Feb 26, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
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: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220425000224 | GA | Practitioner - Physician Assistant | 9537556444 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10893 | GA | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 10893 | GA | Yes |
Addresses
Primary practice location
115 Cherry St NE
Marietta, GA 30060-7205
Mailing address
221 Quail Run
Roswell, GA 30076-3110
Phone (678) 343-7745
Other providers in Marietta, GA
- Matthew Charles Agan
- Nidhi Agarwal
- Sridevi Agasthi
- Boma Agboh-Stroude
- Kerri Garcia Agee
- Agilicare LLC
- Agilitas USA, Inc
- Agilitas USA, Inc.
- Monica Agrawal
- Liam Aguilar
All providers in Marietta, GA · Physician Assistant in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2022. 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.