Organization Active NPI

S.Y.a.H.

Doing business as Guilford immediate Care

  • Urgent Care Clinic/Center
  • Gainesville, GA
National Provider Identifier
1306823455
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
S.Y.A.H.
Doing business as
Guilford immediate Care
Practice address
1250 Jesse Jewell Pkwy SE
Suite 400
Gainesville, GA 30501-3871
Phone
(770) 532-0800
Fax
(770) 532-0801
NPI assigned
Dec 29, 2005
Last updated
Jun 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Dr. Ayham Yousef Haddad, MDNPI 1952398406
Title
Owner
Phone
(770) 532-0800

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
Urgent Care Clinic/Center 261QU0200X GA Primary

Addresses

Primary practice location

1250 Jesse Jewell Pkwy SE
Suite 400
Gainesville, GA 30501-3871

Mailing address

1250 Jesse Jewel Pkwy
Suite 400
Gainesville, GA 30501-3871
Phone (770) 532-0800

Other names 1

  • Guilford immediate Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060607000055 GA Part B Supplier - Clinic/Group Practice 4385655471 Receives reassigned benefits from 10 practitioners
Practice locations: Gainesville, GA; Oakwood, GA

National Provider Directory

National Provider Directory

Locations

1250 Jesse Jewell Pkwy SE
#3
Gainesville, GA 30501

1250 Jesse Jewell Pkwy SE
Ste 400
Gainesville, GA 30501
Phone (770) 532-0800

3885 Mundy Mill Rd
Oakwood, GA 30566
Phone (770) 297-1070

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1306823455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 JESSE JEWEL PKWY",
            "address_2": "SUITE 400",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013871",
            "telephone_number": "770-532-0800",
            "fax_number": "770-532-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 JESSE JEWELL PKWY SE",
            "address_2": "SUITE 400",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013871",
            "telephone_number": "770-532-0800",
            "fax_number": "770-532-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S.Y.A.H.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-29",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "HADDAD",
        "authorized_official_first_name": "AYHAM",
        "authorized_official_middle_name": "YOUSEF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-532-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guilford immediate Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.