Individual provider Active NPI

Ahmed Fathy, MD

  • Neurocritical Care Physician
  • Gainesville, GA
National Provider Identifier
1194863563
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurocritical Care PhysicianTaxonomy code 2084A2900X
License
104196 Issued in GA
Practice address
743 Spring St NE
Gainesville, GA 30501-3715
Phone
(770) 219-2627
NPI assigned
Feb 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35-120063 OH
Critical Care Medicine (Internal Medicine) Physician 207RC0200X C3884 KY
Internal Medicine Physician 207R00000X 036-113985 IL
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 35-120063 OH
Hospitalist Physician 208M00000X 35.120063 OH
Neurocritical Care Physician 2084A2900X 104196 GA Primary

Addresses

Primary practice location

743 Spring St NE
Gainesville, GA 30501-3715

Mailing address

PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420

Other practice location 1

375 Dixmyth Ave
Cincinnati, OH 45220-2475
Phone (513) 862-3452

Other identifiers 2

IdentifierTypeStateIssuer
2565399MedicaidOH
0072642MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address afathy224156@nghs.gadirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, FL, OH, KS, GA, KY6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20060328000155 IL Practitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 8325056773 Reassigns benefits to 1 organization
I20110823000981 FL Practitioner - Internal MedicinePractitioner - Geriatric Medicine 8325056773 Reassigns benefits to 1 organization
I20121116000523 OH Practitioner - Internal MedicinePractitioner - Geriatric Medicine 8325056773 Reassigns benefits to 6 organizations
I20241011002859 KS Practitioner - Internal MedicinePractitioner - Geriatric Medicine 8325056773 Reassigns benefits to 1 organization
I20250530002160 GA Practitioner - Internal Medicine 8325056773 Reassigns benefits to 1 organization
I20250820000516 KY Practitioner - Critical Care (Intensivists) 8325056773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Group IncGroup PAC ID 2163326240, 803 clinicians
Intensive Care Consortium - Midwest, LLCGroup PAC ID 2163893348, 27 clinicians
Northeast Georgia Physicians Group IncGroup PAC ID 6901898386, 884 clinicians

Practice addresses (Care Compare)

1 Medical Village Dr
Edgewood, KY 41017-3403
Phone (859) 212-4468

550 N Hillside St
Wichita, KS 67214-4910
Phone (615) 981-0839

743 Spring Nest
Gainesville, GA 30501-3715
Phone (770) 219-6000

Hospital & facility affiliations

  • Wesley Medical Center Hospital, Wichita, KS, CCN 170123
  • Northeast Georgia Medical Center, Inc Hospital, Gainesville, GA, CCN 110029
  • St Elizabeth Florence Hospital, Florence, KY, CCN 180045
  • Northeast Georgia Medical Center Habersham Hospital, Demorest, GA, CCN 110041

Merit-based Incentive Payment System (MIPS)

Final score
81.38 of 100Reported as group
Quality
66.25
Promoting interoperability
100
Improvement activities
40
Cost
71.69

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-113985ILMDInternal Medicine Physician
C3884KYMDCritical Care Medicine (Internal Medicine) Physician
35-120063OHMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth H LLC Critical Care Medicine CurrentSince Nov 1, 2021 Accepting new patients
Intensive Care Consortium - Midwest, LLC Critical Care Medicine CurrentSince Nov 11, 2024 Accepting new patients
Hospitalist Medicine Physicians of Richland County, LTD Internal Medicine CurrentSince Feb 10, 2020 Accepting new patients
Community First Healthcare of Illinois, Inc. CurrentSince Dec 1, 2015 Accepting new patients
Summit Medical Group, Inc Internal Medicine Current Accepting new patients
Premier Health Specialists Inc CurrentSince Jul 1, 2013 Accepting new patients
Intensive Care Consortium Inc Critical Care Medicine CurrentSince Jul 15, 2022 Accepting new patients
Community First Healthcare of Illinois, Inc. CurrentSince Dec 1, 2015 Accepting new patients
Summit Medical Group, Inc. CurrentSince Aug 31, 2025 Accepting new patients
Hospitalist Medicine Physicians of Ohio, Professional Corporation Internal Medicine CurrentSince Jul 1, 2018 Accepting new patients
Apogee Medical Group Ohio Inc Internal Medicine CurrentSince Jun 12, 2016 Accepting new patients
Midwest Hospitalist Physicians LLP Hospitalist CurrentSince Oct 1, 2016 Accepting new patients
Northeast Georgia Physicians Group Inc Internal Medicine CurrentSince May 15, 2025 Accepting new patients
Summit Medical Group, Inc Internal Medicine CurrentSince Aug 31, 2025 Accepting new patients
Premier Health Specialists Inc Internal Medicine CurrentSince Jul 1, 2013 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations (25 of 28)

1431 SW 1st Ave
Ocala, FL 34471
Phone (352) 401-1425

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

11375 Cortez Blvd
Weeki Wachee, FL 34613
Phone (352) 596-4209

1400 River Pl
Braselton, GA 30517
Phone (770) 219-6000

743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915

597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275

5645 W Addison St
Ste 301
Chicago, IL 60634
Phone (773) 736-4553

5645 W Addison St
Chicago, IL 60634
Phone (773) 282-7000

550 N Hillside St
Wichita, KS 67214
Phone (316) 688-2239

1 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-2000

4900 Houston Rd
Florence, KY 41042
Phone (859) 212-5200

300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034

375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432

4685 Forest Ave
Cincinnati, OH 45212
Phone (513) 853-4721

375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452

30 E Apple St
#6258
Dayton, OH 45409
Phone (937) 208-5300

30 E Apple St
Ste 5254A
Dayton, OH 45409

5151 N Hamilton Rd
Gahanna, OH 43230
Phone (614) 337-1066

1001 Bellefontaine Ave
Lima, OH 45804
Phone (419) 228-3335

10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206

1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000

Interoperability endpoints

  • Direct secure messaging: ahmed.fathy@hca3.eclinicaldirectplus.com

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1194863563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742616",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742616",
            "telephone_number": "770-219-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 SPRING ST NE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013715",
            "telephone_number": "770-219-2627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "375 Dixmyth Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452202475",
            "country_code": "US",
            "telephone_number": "513-862-3452",
            "fax_number": "513-862-3421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FATHY",
        "first_name": "AHMED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-120063",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "KY",
            "license": "C3884",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-113985",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "OH",
            "license": "35-120063",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "35.120063",
            "primary": false
        },
        {
            "code": "2084A2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurocritical Care",
            "state": "GA",
            "license": "104196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2565399",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0072642",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "afathy224156@nghs.gadirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "743 Spring St NE",
            "city": "Gainesville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305013715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.