Active NPI
Hakim Sabur, PTA
- Physical Medicine & Rehabilitation Physician
- Atlanta, GA
National Provider Identifier
1205609021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- PTA004523
- Practice address
- 2841 Greenbriar Pkwy SW Ste X304
Atlanta, GA 30331-2648 - Phone
- (404) 691-4822
- NPI assigned
- Nov 2, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | PTA004523 | GA | Primary |
Addresses
Primary practice location
2841 Greenbriar Pkwy SW Ste X304
Atlanta, GA 30331-2648
Mailing address
2841 Greenbriar Pkwy SW Ste X304
Atlanta, GA 30331-2648
Phone (404) 691-4822
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA004523 | GA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanta Health and Injury Clinic Inc. | Current | Accepting new patients |
Locations
2841 Greenbriar Pkwy SW
Ste X304
Atlanta, GA 30331
Phone (404) 691-4822
Organizations & group practices 1
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.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Atlanta, GA
- NPI 1902288541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698883200000",
"number": "1205609021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2841 GREENBRIAR PKWY SW STE X304",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303312648",
"telephone_number": "404-691-4822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2841 GREENBRIAR PKWY SW STE X304",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303312648",
"telephone_number": "404-691-4822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SABUR",
"first_name": "HAKIM",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-11-02",
"last_updated": "2023-11-02",
"certification_date": "2023-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "GA",
"license": "PTA004523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.