NPIMap

Individual provider Active NPI

Usman Choudhry, DO

  • Physical Medicine & Rehabilitation Physician
  • Gainesville, GA
National Provider Identifier
1215371380
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
94683 Issued in GA
Practice address
1250 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3871
Phone
(765) 935-8866
NPI assigned
Apr 19, 2013
Last updated
Aug 18, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 02005236A IN
Physical Medicine & Rehabilitation Physician 208100000X 94683 GA Primary

Addresses

Primary practice location

1250 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3871

Mailing address

1250 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3871

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230412002976 GA Practitioner - Physical Medicine and Rehabilitation 6103128699 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
West Virginia School of Osteopathic Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialty Spine and Pain PCGroup PAC ID 9931151032, 8 clinicians

Practice addresses (Care Compare)

1250 Jesse Jewell Pkwy SE
Suite 200
Gainesville, GA 30501-3865
Phone (770) 534-7200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.9 of 100Reported as group
Promoting interoperability
94
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02005236AINMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Spine and Pain PC CurrentSince Feb 14, 2023 Accepting new patients
Specialty Spine and Pain PC CurrentSince Feb 14, 2023 Accepting new patients
Gainesville Pain Surgery Center LLC Past Accepting new patients
Friendship Surgery Center LLC Past Accepting new patients
Specialty Spine and Pain PC Past Accepting new patients

Locations

5005 Lanier Islands Pkwy
Ste 200
Buford, GA 30518

5005 Lanier Islands Pkwy
Ste 500
Buford, GA 30518

5005 Lanier Islands Pkwy
Ste B
Buford, GA 30518

1240 Jesse Jewell Pkwy SE
Ste 300
Gainesville, GA 30501
Phone (770) 532-7202

1250 Jesse Jewell Pkwy SE
Ste 100
Gainesville, GA 30501

1250 Jesse Jewell Pkwy SE
Ste 200
Gainesville, GA 30501
Phone (770) 532-6341

Interoperability endpoints

  • Direct secure messaging: uchoudhry@nspc.emadirect.md

Organizations & group practices 5

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": "1366329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1215371380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 JESSE JEWELL PKWY SE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 JESSE JEWELL PKWY SE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013871",
            "telephone_number": "765-935-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOUDHRY",
        "first_name": "USMAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-19",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IN",
            "license": "02005236A",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "94683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.