Organization Active NPI

Dr. Syed W. Rizvi

  • Internal Medicine Physician
  • Roswell, GA
National Provider Identifier
1154590982
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
044073 Issued in GA
Legal business name
DR. SYED W. RIZVI
Practice address
300 Colonial Center Pkwy
Roswell, GA 30076-4899
Phone
(678) 575-0288
NPI assigned
Feb 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Authorized official

Name
Dr. Syed W. Rizvi, MD
Title
MD
Phone
(678) 575-0288

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 044073 GA Primary
Medical Specialty Clinic/Center 261QM2500X

Addresses

Primary practice location

300 Colonial Center Pkwy
Roswell, GA 30076-4899

Mailing address

770 Champions Close
Alpharetta, GA 30004-0949

Other identifiers 1

IdentifierTypeStateIssuer
000756093DMedicaidGA

National Provider Directory

National Provider Directory

Locations

4343 Shallowford Rd
Ste B4A
Marietta, GA 30062
Phone (770) 579-1850

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1154590982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 CHAMPIONS CLOSE",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300040949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 COLONIAL CENTER PKWY",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764899",
            "telephone_number": "678-575-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SYED W. RIZVI",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-01",
        "status": "A",
        "authorized_official_last_name": "RIZVI",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "678-575-0288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "044073",
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000756093D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.