Individual provider Active NPI

Halim Najib

  • Prosthetics Case Management
  • Kennesaw, GA
National Provider Identifier
1275073520
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
License
063690373 Issued in GA
Practice address
1301 Shiloh Rd NW
Kennesaw, GA 30144-7147
Phone
(770) 289-3486
NPI assigned
Mar 6, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X
Community Health Worker 172V00000X
Prosthetics Case Management 1744P3200X 063690373 GA Primary

Addresses

Primary practice location

1301 Shiloh Rd NW
Kennesaw, GA 30144-7147

Mailing address

5944 Highway 92
Suite 100, Unit 2811
Acworth, GA 30102
Phone (770) 289-3486

Other identifiers 1

IdentifierTypeStateIssuer
90-0925552MedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
063690373GAMDProsthetics Case Management

Practice roles

OrganizationSpecialtyStatusNew patients
Yaeiouy Current Accepting new patients

Locations

5944 Highway 92
Ste 100
Acworth, GA 30102
Phone (706) 364-5228

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521504000000",
    "number": "1275073520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5944 HIGHWAY 92",
            "address_2": "SUITE 100, UNIT 2811",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "30102",
            "telephone_number": "770-289-3486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SHILOH RD NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447147",
            "telephone_number": "770-289-3486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAJIB",
        "first_name": "HALIM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-06",
        "last_updated": "2018-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "GA",
            "license": "063690373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90-0925552",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.