Individual provider Active NPI

Aakar Thaker, M.D.

  • Family Medicine Physician
  • Lilburn, GA
National Provider Identifier
1215391016
Registry record updated Mar 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
84787 Issued in GA
Practice address
3993 Lawrenceville Hwy NW Ste 140
Lilburn, GA 30047-2873
Phone
(678) 995-3610
Fax
(807) 698-5368
NPI assigned
Apr 7, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2020

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 84787 GA Primary

Addresses

Primary practice location

3993 Lawrenceville Hwy NW Ste 140
Lilburn, GA 30047-2873

Mailing address

5724 Brendlynn Dr
Suwanee, GA 30024-7579

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
I20200910003218 GA Practitioner - Family Practice 2062706195 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
84787GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Phoebe Dorminy Kids Health CurrentSince Aug 1, 2020 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Aug 1, 2020 Accepting new patients

Locations

2336 Dawson Rd
Ste 1500
Albany, GA 31707
Phone (229) 312-8800

500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584316800000",
    "number": "1215391016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5724 BRENDLYNN DR",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300247579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3993 LAWRENCEVILLE HWY NW STE 140",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300472873",
            "telephone_number": "678-995-3610",
            "fax_number": "807-698-5368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAKER",
        "first_name": "AAKAR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-07",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "84787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lilburn, GA

Sources for this page

Verify at the official NPI Registry.