Individual provider Active NPI

Malik M Malik, MBBS

  • Pulmonary Disease Physician
  • Winder, GA
National Provider Identifier
1215348990
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
91665 Issued in GA
Practice address
30 Satellite Dr Ste 200
Winder, GA 30680-6211
Phone
(770) 586-0300
NPI assigned
May 15, 2014
Last updated
Aug 3, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NY
Internal Medicine Physician 207R00000X D0081834 MD
Pulmonary Disease Physician 207RP1001X 91665 GA Primary

Addresses

Primary practice location

30 Satellite Dr Ste 200
Winder, GA 30680-6211

Mailing address

30 Satellite Dr Ste 200
Winder, GA 30680-6211
Phone (770) 586-0300

Other practice location 1

500 Upper Chesapeake Dr
Adult Hospitalist Dept
Bel Air, MD 21014-4324
Phone (443) 643-1500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmalik140965@nghs.gadirect.net Direct

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
I20220516000998 GA Practitioner - Pulmonary Disease 9234425794 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pulmonary and Sleep Specialists of Piedmont NortheastGroup PAC ID 5698209096, 18 clinicians

Practice addresses (Care Compare)

1800 Tree LN
Suite 200
Snellville, GA 30078-2060
Phone 7705860300352

2075 Hamilton Creek Pkwy
Suite 200
Dacula, GA 30019-7285
Phone 7705860300320

316 N Broad St
Winder, GA 30680-2150
Phone (770) 307-5400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.83 of 100Reported as group
Quality
80.36
Promoting interoperability
100
Improvement activities
40
Cost
79.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0081834MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary and Sleep Specialists of Northeast Georgia, PC Internal Medicine CurrentSince Jul 11, 2022 Accepting new patients
Northeast Georgia Physicians Group Inc Internal Medicine CurrentSince May 10, 2022 Accepting new patients
Pulmonary and Sleep Specialists of Piedmont Northeast Pulmonary Disease CurrentSince Sep 1, 2024 Accepting new patients
Sleep Telehealth Pulmonary Disease Past Accepting new patients

Locations

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

2075 Hamilton Creek Pkwy
Ste 200
Dacula, GA 30019
Phone (770) 586-0300

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

2151 W Spring St
Ste B110
Monroe, GA 30655
Phone (770) 267-1895

1800 Tree Ln
Ste 200
Snellville, GA 30078
Phone (770) 586-0300

20 Satellite Dr
Ste 200
Winder, GA 30680
Phone (678) 963-0939

30 Satellite Dr
Ste 200
Winder, GA 30680
Phone (770) 586-0300

316 N Broad St
Winder, GA 30680
Phone (770) 307-5354

Interoperability endpoints

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

Organizations & group practices 4

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.

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": "1400112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1215348990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 SATELLITE DR STE 200",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306806211",
            "telephone_number": "770-586-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 SATELLITE DR STE 200",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306806211",
            "telephone_number": "770-586-0300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Upper Chesapeake Dr",
            "address_2": "Adult Hospitalist Dept",
            "address_purpose": "LOCATION",
            "city": "Bel Air",
            "state": "MD",
            "postal_code": "210144324",
            "country_code": "US",
            "telephone_number": "443-643-1500",
            "fax_number": "443-643-1505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALIK",
        "first_name": "MALIK",
        "middle_name": "M",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-15",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0081834",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "GA",
            "license": "91665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmalik140965@nghs.gadirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "30 Satellite Dr Ste 200",
            "city": "Winder",
            "state": "GA",
            "country_code": "US",
            "postal_code": "306806211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winder, GA

Sources for this page

Verify at the official NPI Registry.