NPIMap

Individual provider Active NPI

Faheem B Nusrat, MD

  • Family Medicine Physician
  • Aiken, SC
National Provider Identifier
1235121237
Registry record updated Jul 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD38409 Issued in SC
Practice address
1021 Silver Bluff Rd
Aiken, SC 29803
Phone
(803) 648-0587
Fax
(803) 648-9846
NPI assigned
Aug 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 044043 GA
Family Medicine Physician 207Q00000X MD38409 SC Primary

Addresses

Primary practice location

1021 Silver Bluff Rd
Aiken, SC 29803

Mailing address

University Medical Group
P O Box 1705
Augusta, GA 30903-1705
Phone (706) 774-7261

Other practice location 1

325 Georgia Ave Ste 100
North Augusta, SC 29841-3848
Phone (803) 202-3351

Other practice location 2

3515 Richland Ave
Aiken, SC 29801-6311
Phone (803) 642-2626

Other identifiers 15

IdentifierTypeStateIssuer
000788081EMedicaidGA
111811OtherGAMEDICARE FQHC
342410OtherGAWELLCARE
11SCCWTOtherGAMEDICARE FFS
341629OtherGAWELLCARE
GRP1619OtherGAMEDICARE FFS GROUP
000788081BMedicaidGA
10057307OtherGAAMERIGROUP
341628OtherGAWELLCARE
000471809AOtherGAMEDICAID FQHC
000471809BMedicaidGA
341630OtherGAWELLCARE
P00015170OtherMEDICARE RR RETIRED
111812OtherGAMEDICARE FQHC
111814OtherGAMEDICARE FQHC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20031217000473 GA Practitioner - Internal Medicine 5294632220 Reassigns benefits to 1 organization
I20150928001848 SC Practitioner - Internal Medicine 5294632220 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Piedmont Professional Services LLCGroup PAC ID 8921176231, 171 clinicians
Piedmont Medical Care CorporationGroup PAC ID 6002802220, 368 clinicians

Practice addresses (Care Compare)

1855 Hudson Bridge Rd
Stockbridge, GA 30281-5000
Phone (770) 801-2500

325 Georgia Ave
Suite 100
North Augusta, SC 29841-3848
Phone (803) 202-3351

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Newberry, SC, CCN 427850
  • Trinity Home Health of Aiken Home health agency, Aiken, SC, CCN 427119
  • Trinity Home Health Home health agency, Martinez, GA, CCN 117025
  • Amedisys Home Health of Lexington Home health agency, Lexington, SC, CCN 427039
  • NHC Homecare Aiken Home health agency, Aiken, SC, CCN 427077
  • Piedmont Augusta Hospital Hospital, Augusta, GA, CCN 110028
  • Wellstar MCG Health, Affiliated With Med Col Hospital, Augusta, GA, CCN 110034
  • Aiken Regional Medical Center Hospital, Aiken, SC, CCN 420082

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
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University Prompt Care Current Accepting new patients
Piedmont Medical Care Corporation Family Medicine CurrentSince Dec 24, 2023 Accepting new patients
University Medical Group LLC Family Medicine CurrentSince Sep 1, 2021 Accepting new patients
University Primary Care Internal Medicine Current Accepting new patients
Piedmont Professional Services, LLC Family Medicine CurrentSince Jan 14, 2024 Accepting new patients
Umg Primary Care South Carolina, LLC Family Medicine CurrentSince Jun 27, 2017 Accepting new patients
University Medical Group LLC Family Medicine CurrentSince Sep 1, 2021 Accepting new patients
University Health Care Physicians LLC Family Medicine Current Accepting new patients
Southcare Medical Center Family Medicine Past Accepting new patients
Ar Medical LLC Past Accepting new patients
Ar Medical LLC Past Accepting new patients
Piedmont Providers LLC Internal Medicine Past Accepting new patients
Tri-County Health System, Inc. Past Accepting new patients

Locations

2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421

820 Saint Sebastian Way
Ste 4C
Augusta, GA 30901
Phone (706) 774-5997

447 N Belair Rd
Ste 101
Evans, GA 30809
Phone (706) 854-2222

1100 West Lake Commons Dr
Martinez, GA 30907
Phone (706) 228-2565

1855 Hudson Bridge Rd
Stockbridge, GA 30281
Phone (678) 565-0648

3515 Richland Ave W
Aiken, SC 29801
Phone (803) 502-5527

1023 Silver Bluff Rd
Aiken, SC 29803
Phone (803) 502-5515

1021 Silver Bluff Rd
Aiken, SC 29803
Phone (803) 648-0587

325 Georgia Ave
Ste 100
North Augusta, SC 29841
Phone (803) 202-3351

325 Georgia Ave
Ste 200
North Augusta, SC 29841
Phone (803) 202-3351

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 10

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": "1531353600000",
    "number": "1235121237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY MEDICAL GROUP",
            "address_2": "P O BOX 1705",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309031705",
            "telephone_number": "706-774-7261",
            "fax_number": "706-774-7279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 SILVER BLUFF RD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "29803",
            "telephone_number": "803-648-0587",
            "fax_number": "803-648-9846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 Georgia Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "North Augusta",
            "state": "SC",
            "postal_code": "298413848",
            "country_code": "US",
            "telephone_number": "803-202-3351",
            "fax_number": "803-819-8532",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3515 Richland Ave",
            "address_purpose": "LOCATION",
            "city": "Aiken",
            "state": "SC",
            "postal_code": "298016311",
            "country_code": "US",
            "telephone_number": "803-642-2626",
            "fax_number": "803-642-2960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUSRAT",
        "first_name": "FAHEEM",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "044043",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "MD38409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000788081E",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE FQHC",
            "identifier": "111811",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "342410",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE FFS",
            "identifier": "11SCCWT",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "341629",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE FFS GROUP",
            "identifier": "GRP1619",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000788081B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10057307",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "341628",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID FQHC",
            "identifier": "000471809A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000471809B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "341630",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR RETIRED",
            "identifier": "P00015170",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE FQHC",
            "identifier": "111812",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE FQHC",
            "identifier": "111814",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

Verify at the official NPI Registry.