Syed A Imam, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

068148 Issued in GA

Practice address

950 Scales Rd Ste 302
Suwanee, GA 30024-4342

Phone

(404) 994-5000

NPI assigned

Aug 27, 2007

Last updated

Apr 28, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: syed.imam.1@8478.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nak Union, Inc

  • Mental Health Counselor
  • College Park, GA
  • NPI 1174863047
  Medicare reassignment NPD
• Personal Recovery Network LLC

  dba LifeStance Health

  • Psychiatry Physician
  • Stockbridge, GA
  • NPI 1881990869

  Child & Adolescent Psychiatry

  Medicare reassignment NPD
• Phoebe Physician Group, Inc

  • Clinic/Center
  • Albany, GA
  • NPI 1487899464
  Medicare reassignment NPD
• Psychiatric Services of America

  • Psychiatry Physician
  • Lawrenceville, GA
  • NPI 1508087792
  Medicare reassignment
• Sreedevi Vayalapalli, MD,PC

  dba Care Psychiatry

  • Psychiatry Physician
  • Suwanee, GA
  • NPI 1083958078
  Medicare reassignment
• HHC Augusta, Inc

  dba Lighthouse Care Center of Augusta

  • Psychiatric Hospital
  • Augusta, GA
  • NPI 1376633578
  NPD (past)
• R. J Shepherd II, Inc

  dba Better Home Health Care of GA

  • Professional Counselor
  • Lagrange, GA
  • NPI 1861858532
  NPD (past)
• Salveo Integrative Health

  • Psychiatry Physician
  • Lawrenceville, GA
  • NPI 1548513211
  NPD (past)
• New Mexico Psychiatric Services Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Roswell, NM
  • NPI 1588685457
  NPD (past)

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430179200000",
    "number": "1144413733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 SCALES RD STE 302",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300244342",
            "telephone_number": "404-994-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 SCALES RD STE 302",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300244342",
            "telephone_number": "404-994-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMAM",
        "first_name": "SYED",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-27",
        "last_updated": "2015-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "GA",
            "license": "068148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Independent Physical Therapy of Georgia, LLC

• Child & Adolescent Psychiatry Physician in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Child & Adolescent Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.