Individual provider Active NPI

Faria Ali, MD

  • Hematology & Oncology Physician
  • Stockbridge, GA
National Provider Identifier
1225565666
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
112862 Issued in GA
Practice address
290 Country Club Dr Ste 100
Stockbridge, GA 30281-9069
Phone
(678) 854-9500
Fax
(678) 854-9502
NPI assigned
May 16, 2017
Last updated
Aug 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 89760 SC
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X 112862 GA Primary

Addresses

Primary practice location

290 Country Club Dr Ste 100
Stockbridge, GA 30281-9069

Mailing address

1800 Howell Mill Rd NW Ste 800
Atlanta, GA 30318-0922
Phone (678) 298-3239

Other practice location 1

4877 Bill Gardner Pkwy
Locust Grove, GA 30248-3644
Phone (678) 399-7190

Other practice location 2

755 Mount Vernon Hwy NE Ste 320
Sandy Springs, GA 30328-4288
Phone (404) 350-8711

Other practice location 3

775 Poplar Rd Ste 310
Newnan, GA 30265-8303
Phone (770) 251-2590

Other practice location 4

11315 Johns Creek Pkwy Ste 220
Johns Creek, GA 30097-2645
Phone (678) 399-7187

Other practice location 5

1267 Highway 54 W Ste 4200
Fayetteville, GA 30214-2112
Phone (678) 829-1060

Other practice location 6

1800 Howell Mill Rd NW Ste 800
Atlanta, GA 30318-0922
Phone (404) 350-9857

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20230802004539 SC Practitioner - Hematology/OncologyPractitioner - Internal Medicine 1254608631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Cancer Center LLCGroup PAC ID 1456265503, 22 clinicians

Practice addresses (Care Compare)

817 Farrar Dr
Conway, SC 29526-8747
Phone (843) 234-1660

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.12 of 100Reported as group
Promoting interoperability
91
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
89760SCMDInternal Medicine Physician
112862GAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Cancer Center LLC Single Specialty Current Accepting new patients
Coastal Cancer Center LLC Single Specialty CurrentSince Jul 31, 2023 Accepting new patients
Coastal Cancer Center, LLC Single Specialty Current Accepting new patients
Coastal Cancer Center LLC Hematology & Oncology CurrentSince Jul 31, 2023 Accepting new patients
Coastal Cancer Center LLC Single Specialty Current Accepting new patients

Locations

817 Farrar Dr
Conway, SC 29526
Phone (843) 234-1660

3008 Bayboro St
Loris, SC 29569
Phone (843) 756-0932

4620 Highway 17
Murrells Inlet, SC 29576
Phone (843) 357-7357

8121 Rourk St
Myrtle Beach, SC 29572
Phone (843) 692-5000

Interoperability endpoints

  • Direct secure messaging: fali460990@direct.hfhs.org

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 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1494892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1225565666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 HOWELL MILL RD NW STE 800",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303180922",
            "telephone_number": "678-298-3239",
            "fax_number": "404-477-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 COUNTRY CLUB DR STE 100",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819069",
            "telephone_number": "678-854-9500",
            "fax_number": "678-854-9502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4877 Bill Gardner Pkwy",
            "address_purpose": "LOCATION",
            "city": "Locust Grove",
            "state": "GA",
            "postal_code": "302483644",
            "country_code": "US",
            "telephone_number": "678-399-7190",
            "fax_number": "678-399-7192",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "755 Mount Vernon Hwy NE Ste 320",
            "address_purpose": "LOCATION",
            "city": "Sandy Springs",
            "state": "GA",
            "postal_code": "303284288",
            "country_code": "US",
            "telephone_number": "404-350-8711",
            "fax_number": "404-351-7550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "775 Poplar Rd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "302658303",
            "country_code": "US",
            "telephone_number": "770-251-2590",
            "fax_number": "770-251-1490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11315 Johns Creek Pkwy Ste 220",
            "address_purpose": "LOCATION",
            "city": "Johns Creek",
            "state": "GA",
            "postal_code": "300972645",
            "country_code": "US",
            "telephone_number": "678-399-7187",
            "fax_number": "678-399-7189",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1267 Highway 54 W Ste 4200",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "GA",
            "postal_code": "302142112",
            "country_code": "US",
            "telephone_number": "678-829-1060",
            "fax_number": "678-829-1099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 Howell Mill Rd NW Ste 800",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303180922",
            "country_code": "US",
            "telephone_number": "404-350-9857",
            "fax_number": "404-350-8407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALI",
        "first_name": "FARIA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-16",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "SC",
            "license": "89760",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "GA",
            "license": "112862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.