Individual provider Active NPI

Deema Elchoufi, MD

  • Family Medicine Physician
  • Peachtree Corners, GA
National Provider Identifier
1205350691
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
97963 Issued in GA
Practice address
6185 Buford Hwy BLDG B
Peachtree Corners, GA 30071-2350
Phone
(770) 446-0929
NPI assigned
Jul 28, 2017
Last updated
Dec 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 97963 GA Primary

Addresses

Primary practice location

6185 Buford Hwy BLDG B
Peachtree Corners, GA 30071-2350

Mailing address

112 Redbud LN
Martinez, GA 30907-1632

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240315002541 GA Practitioner - Family Practice 6406292143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Emory University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6185 Buford Hwy G
Peachtree Corners, GA 30071-2350
Phone (770) 446-0929

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
97963GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Pan Asian Community Services, Inc. CurrentSince Feb 3, 2024 Accepting new patients
Center for Pan Asian Community Services, Inc. CurrentSince Feb 3, 2024 Accepting new patients

Locations

6185 Buford Hwy
#G
Peachtree Corners, GA 30071
Phone (770) 368-9700

6185 Buford Hwy
Bldg B
Peachtree Corners, GA 30071
Phone (770) 446-0929

6185 Buford Hwy
Bldg G
Peachtree Corners, GA 30071
Phone (770) 446-0929

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BFAGCA
  • FHIR API: https://fhir4.healow.com/fhir/r4/BFAGCA/Endpoint/BFAGCA

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1205350691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 REDBUD LN",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309071632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6185 BUFORD HWY BLDG B",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300712350",
            "telephone_number": "770-446-0929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELCHOUFI",
        "first_name": "DEEMA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-28",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "97963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree Corners, GA

Sources for this page

Verify at the official NPI Registry.