Individual provider Active NPI

Swaraj Suhas Hublikar, PA-C

  • Physician Assistant
  • McDonough, GA
National Provider Identifier
1215439286
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
8691 Issued in GA
Practice address
2050 Jonesboro Rd Ste a
McDonough, GA 30253
Phone
(678) 935-0090
Fax
(678) 935-0095
NPI assigned
Mar 6, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 008691 FL
Physician Assistant 363A00000X 8691 GA Primary

Addresses

Primary practice location

2050 Jonesboro Rd Ste a
McDonough, GA 30253

Mailing address

1825 Highway 34 E Ste 1200
Newnan, GA 30265-6416
Phone (888) 341-3360

Other practice location 1

2323 S Orange Ave Ste A
Orlando, FL 32806-3059
Phone (407) 418-9999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180817002141 GA Practitioner - Physician Assistant 4183973589 Reassigns benefits to 2 organizations
I20221214001403 FL Practitioner - Physician Assistant 4183973589 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peachtree Immediate Care FP, LLCGroup PAC ID 3274559323, 328 clinicians
Piedmont Orthopedics, LLCGroup PAC ID 4385963172, 191 clinicians

Practice addresses (Care Compare)

11244 Tara Blvd
Suite 130
Hampton, GA 30228-1655
Phone (470) 781-3092

1220 Caroline St NE
Suite a 230
Atlanta, GA 30307-2749
Phone (678) 710-3980

1255 Hwy 54 W
Fayetteville, GA 30214-4526
Phone (770) 460-1900

1265 Hwy 54 W
Suite 200
Fayetteville, GA 30214-4543
Phone (770) 460-1900

13093 Brown Bridge Rd
Covington, GA 30016-9109
Phone (678) 800-1591

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141-2804
Phone (770) 222-8900

4327 Hugh Howell Rd
Tucker, GA 30084-4739
Phone (678) 800-1279

4400 Peachtree Rd NE
Brookhaven, GA 30319-2729
Phone (404) 814-9199

4837 Bill Gardner Pkwy
Suite B
Locust Grove, GA 30248-3644
Phone (678) 800-1602

5419 Chamblee Dunwoody Rd
Dunwoody, GA 30338-4101
Phone (678) 284-2067

6000 Hillandale Dr
Lithonia, GA 30058-4858
Phone (770) 461-3776

620 Cherokee St NE
Suite 300
Marietta, GA 30060-7202
Phone (770) 635-1812

Hospital & facility affiliations

  • Piedmont Fayette Hospital Hospital, Fayetteville, GA, CCN 110215

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
008691FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstreet of Georgia PC CurrentSince Jan 28, 2024 Accepting new patients
Piedmont Orthopedics, LLC CurrentSince Oct 1, 2025 Accepting new patients
Solantic of Jacksonville, LLC PastSince Sep 5, 2021 Accepting new patients

Locations

620 Cherokee St NE
Ste 300
Marietta, GA 30060
Phone (770) 635-1812

2050 Jonesboro Rd
Ste A
McDonough, GA 30253
Phone (678) 935-0090

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/327/brand/1/csg/21/fhir/r4

Organizations & group practices 10

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.

Hospital & facility affiliations 1

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": "1520294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1215439286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 HIGHWAY 34 E STE 1200",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302656416",
            "telephone_number": "888-341-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 JONESBORO RD STE A",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "30253",
            "telephone_number": "678-935-0090",
            "fax_number": "678-935-0095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2323 S Orange Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328063059",
            "country_code": "US",
            "telephone_number": "407-418-9999",
            "fax_number": "407-808-7392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUBLIKAR",
        "first_name": "SWARAJ",
        "middle_name": "SUHAS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-06",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "008691",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "8691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

Verify at the official NPI Registry.