Individual provider Active NPI

Hakim Sabur, PTA

  • Physical Medicine & Rehabilitation Physician
  • Atlanta, GA
National Provider Identifier
1205609021
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
PTA004523 Issued in GA
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

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PTA004523GAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Health and Injury Clinic Inc. CurrentSince Nov 5, 2023 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.

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.

Verify at the official NPI Registry.