Organization Active NPI

Naveed S Ummed., M.D. Inc.

  • Internal Medicine Physician
  • Johns Creek, GA
National Provider Identifier
1154604874
Registry record updated Sep 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
66835 Issued in GA
Legal business name
NAVEED S UMMED., M.D. INC.
Practice address
5805 State Bridge Rd
G150
Johns Creek, GA 30097-8220
Phone
(602) 738-8903
NPI assigned
Sep 20, 2011
Last updated
Sep 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2011

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

Authorized official

Name
Dr. Naveed Shaz Ummed, M.D.NPI 1841597770
Title
President
Phone
(602) 738-8903

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 66835 GA Primary

Addresses

Primary practice location

5805 State Bridge Rd
G150
Johns Creek, GA 30097-8220

Mailing address

5805 State Bridge Rd
G150
Duluth, GA 30097-8220
Phone (602) 738-8903

Other identifiers 5

IdentifierTypeStateIssuer
8586AOtherWYWYOMING MEDICAL BOARD
1841597770OtherNPI
222NSU11OtherWYWYOMING BOARD OF PHARMACY
66835OtherGAGEORGIA COMPOSITE BOARD OF MEDICINE
24080OtherMEDICARE - PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111021000020 GA Part B Supplier - Clinic/Group Practice 6608048475 Receives reassigned benefits from 4 practitioners
Practice locations: Johns Creek, GA

National Provider Directory

National Provider Directory

Locations

2150 Peachford Rd
Ste A
Atlanta, GA 30338
Phone (770) 674-0553

5805 State Bridge Rd
#G150
Johns Creek, GA 30097
Phone (602) 738-8903

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316476800000",
    "number": "1154604874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5805 STATE BRIDGE RD",
            "address_2": "G150",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300978220",
            "telephone_number": "602-738-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5805 STATE BRIDGE RD",
            "address_2": "G150",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300978220",
            "telephone_number": "602-738-8903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAVEED S UMMED., M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-20",
        "last_updated": "2011-09-20",
        "status": "A",
        "authorized_official_last_name": "UMMED",
        "authorized_official_first_name": "NAVEED",
        "authorized_official_middle_name": "SHAZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-738-8903",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "66835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WYOMING MEDICAL BOARD",
            "identifier": "8586A",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1841597770",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WYOMING BOARD OF PHARMACY",
            "identifier": "222NSU11",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA COMPOSITE BOARD OF MEDICINE",
            "identifier": "66835",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - PTAN",
            "identifier": "24080",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Creek, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.