NPIMap

Individual provider Active NPI

Muhammad Jabri, MD

  • Nephrology Physician
  • Marietta, GA
National Provider Identifier
1285688283
Registry record updated Dec 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
062719 Issued in GA
Practice address
880 Canton Rd.
Suite 400
Marietta, GA 30060-7283
Phone
(770) 528-9788
Fax
(770) 420-2229
NPI assigned
May 22, 2006
Last updated
Dec 23, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2015

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 4301081222 MI
Nephrology Physician 207RN0300X 062719 GA Primary

Addresses

Primary practice location

880 Canton Rd.
Suite 400
Marietta, GA 30060-7283

Mailing address

880 Canton Rd.
Suite 400
Marietta, GA 30060-7283
Phone (770) 528-9788

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090817000714 GA Practitioner - Nephrology 7911918081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Georgia Kidney Specialists, LLCGroup PAC ID 8921044660, 4 clinicians

Practice addresses (Care Compare)

880 Canton Rd NE
Suite 400
Marietta, GA 30060-7283
Phone (770) 528-9788

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Georgia Kidney Specialists, LLC Nephrology CurrentSince Feb 1, 2010 Accepting new patients
Tift Regional Health System Inc CurrentSince Jan 1, 2016 Accepting new patients

Locations

125 Oakside Ct
Ste 302
Canton, GA 30114
Phone (770) 528-9788

20 Collins Dr
Ste A
Cartersville, GA 30120
Phone (770) 528-9788

880 Canton Rd NE
Ste 400
Marietta, GA 30060
Phone (770) 528-9788

2225 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-3422

2227 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-6188

901 18th St E
Tifton, GA 31794
Phone (229) 353-6208

Interoperability endpoints

  • Direct secure messaging: muhammad.jabri@direct.davitaphysiciansolutions.com

Organizations & group practices 2

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 7

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": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450828800000",
    "number": "1285688283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 CANTON RD.",
            "address_2": "SUITE 400",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607283",
            "telephone_number": "770-528-9788",
            "fax_number": "770-420-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 CANTON RD.",
            "address_2": "SUITE 400",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607283",
            "telephone_number": "770-528-9788",
            "fax_number": "770-420-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABRI",
        "first_name": "MUHAMMAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2015-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301081222",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "062719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.