Active NPI
Haleh P. Hamidi, M.D.
- Obstetrics & Gynecology Physician
- Snellville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 049022
- Practice address
- 1700 Tree Lane Rd
Suite 290
Snellville, GA 30078-6782 - Phone
- (770) 972-0330
- Fax
- (770) 985-2683
- NPI assigned
- Aug 17, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 049022 | GA | Primary |
Addresses
Primary practice location
1700 Tree Lane Rd
Suite 290
Snellville, GA 30078-6782
Mailing address
1700 Tree Lane Rd
Suite 290
Snellville, GA 30078-6782
Phone (770) 972-0330
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00899445A | Medicaid | GA |
Other names 1
- Dr. Haleh Pourhamidi
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100519000680 | GA | Practitioner - Obstetrics/Gynecology | 9537298120 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Atlanta Women'S Health Group PC
Practice addresses (Care Compare)
1800 Tree LN
Suite 300
Snellville, GA 30078-6794
Phone (770) 972-0330
5780 Peachtree Dunwoody Rd
Suite 295
Atlanta, GA 30342-1544
Phone (404) 255-0621
Hospital & facility affiliations
- Piedmont Eastside Medical Center
- Northside Hospital Gwinnett
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gwinnett OB-GYN Associates, P.C.. | Obstetrics & Gynecology | Current | Accepting new patients |
| Atlanta Women'S Health Group, P.C. | Current | Accepting new patients | |
| Northside Northpoint OB GYN 2 LLC | Obstetrics & Gynecology | Past | Accepting new patients |
| Eastside Medical Center, LLC | Past | Accepting new patients |
Locations
1505 Northside Blvd
Ste 2400
Cumming, GA 30041
Phone (770) 292-3490
5780 Peachtree Dunwoody Rd
Sandy Springs, GA 30342
Phone (404) 255-0621
5780 Peachtree Dunwoody Rd
Ste 300
Sandy Springs, GA 30342
Phone (404) 252-1137
5780 Peachtree Dunwoody Rd
Ste 295
Sandy Springs, GA 30342
Phone (404) 255-0621
1700 Tree Ln
Ste 290
Snellville, GA 30078
Phone (770) 972-0330
1800 Tree Ln
Ste 300
Snellville, GA 30078
Phone (770) 972-0330
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 and National Provider Directory roles.
-
- Obstetrics Physician
- Snellville, GA
- NPI 1194776674
Obstetrics & Gynecology
-
- General Acute Care Hospital
- Snellville, GA
- NPI 1467406132
-
- Obstetrics & Gynecology Physician
- Atlanta, GA
- NPI 1023148616
Obstetrics & Gynecology
Hospital & facility affiliations 2
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": "1124236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201564800000",
"number": "1215929161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 TREE LANE RD",
"address_2": "SUITE 290",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300786782",
"telephone_number": "770-972-0330",
"fax_number": "770-985-2683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 TREE LANE RD",
"address_2": "SUITE 290",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300786782",
"telephone_number": "770-972-0330",
"fax_number": "770-985-2683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMIDI",
"first_name": "HALEH",
"middle_name": "P.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-17",
"last_updated": "2008-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "049022",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00899445A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HALEH",
"last_name": "POURHAMIDI",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Snellville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.