NPIMap

Organization Active NPI

Dawoud

Doing business as North Georgia Urgent Care

  • Family Medicine Physician
  • Duluth, GA
National Provider Identifier
1255650941
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
056455 Issued in GA
Legal business name
DAWOUD
Doing business as
North Georgia Urgent Care
Practice address
1630 Pleasant Hill Rd
Ste 340
Duluth, GA 30136-5899
Phone
(678) 776-0493
NPI assigned
May 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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

Authorized official

Name
Dr. Sinan J Haddad, MDNPI 1528037033
Title
Owner
Phone
(678) 776-0493

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 056455 GA Primary

Addresses

Primary practice location

1630 Pleasant Hill Rd
Ste 340
Duluth, GA 30136-5899

Mailing address

1630 Pleasant Hill Rd
Ste 340
Duluth, GA 30136
Phone (678) 776-0493

Other practice location 1

451 Northolt Pkwy
Suwanee, GA 30024-4362
Phone (678) 680-4290

Other identifiers 1

IdentifierTypeStateIssuer
839618790AMedicaidGA

Other names 1

  • North Georgia Urgent Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100804000578 GA Part B Supplier - Clinic/Group Practice 1951434422 Receives reassigned benefits from 6 practitioners
Practice locations: Duluth, GA

National Provider Directory

National Provider Directory

Locations

1630 Pleasant Hill Rd
Ste 340
Duluth, GA 30096
Phone (678) 680-4290

1630 Pleasant Hill Rd
Duluth, GA 30096
Phone (770) 330-8969

451 Northolt Pkwy
Suwanee, GA 30024
Phone (648) 680-4290

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609286400000",
    "number": "1255650941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 PLEASANT HILL RD",
            "address_2": "STE 340",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "30136",
            "telephone_number": "678-776-0493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 PLEASANT HILL RD",
            "address_2": "STE 340",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "301365899",
            "telephone_number": "678-776-0493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "451 Northolt Pkwy",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300244362",
            "country_code": "US",
            "telephone_number": "678-680-4290",
            "fax_number": "678-680-4295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DAWOUD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-20",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A",
        "authorized_official_last_name": "HADDAD",
        "authorized_official_first_name": "SINAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-776-0493",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "056455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "839618790A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Georgia Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.