Active NPI
Halim Najib
- Prosthetics Case Management
- Kennesaw, GA
National Provider Identifier
1275073520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- License
- 063690373
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 90-0925552 | Medicaid | GA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 063690373 | GA | MD | Prosthetics Case Management |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Prosthetist
- Acworth, GA
- NPI 1700382355
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.