Individual provider Active NPI

Hina Hussain, MD

  • Family Medicine Physician
  • Norcross, GA
National Provider Identifier
1306881362
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
74255 Issued in TN
Practice address
1 Technology Pkwy S
Norcross, GA 30092-2928
Phone
(404) 465-4282
NPI assigned
Jun 16, 2006
Last updated
May 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 055063 GA
Family Medicine Physician 207Q00000X 74255 TN Primary

Addresses

Primary practice location

1 Technology Pkwy S
Norcross, GA 30092-2928

Mailing address

2625 Sandy Plains Rd Ste 200
Marietta, GA 30066-4291
Phone (404) 386-3078

Other practice location 1

223 Medical Center Dr
Riverdale, GA 30274-2640
Phone (404) 465-4282

Other identifiers 1

IdentifierTypeStateIssuer
003105343AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060803000040 GA Practitioner - Family Practice 6507879830 Reassigns benefits to 1 organization
I20251223004629 TN Practitioner - Family Practice 6507879830 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Service Associates LLCGroup PAC ID 2860740297, 3 clinicians
Radiant Family Practice, LLCGroup PAC ID 5890977326, 5 clinicians

Practice addresses (Care Compare)

1444 Old Weisgarber Rd
Knoxville, TN 37909-1293
Phone (865) 500-6665

223 Medical Ctr Dr
Riverdale, GA 30274-2640
Phone (404) 465-4282

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
74255TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Truva Health Hospitalist CurrentSince Oct 10, 2025 Accepting new patients
Endocrine Specialists of Georgia, LLC PastSince Nov 8, 2020 Accepting new patients

Locations

804 N Holtzclaw Ave
Chattanooga, TN 37404
Phone (423) 463-4408

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1306881362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 SANDY PLAINS RD STE 200",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300664291",
            "telephone_number": "404-386-3078",
            "fax_number": "404-891-6118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TECHNOLOGY PKWY S",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300922928",
            "telephone_number": "404-465-4282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "223 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Riverdale",
            "state": "GA",
            "postal_code": "302742640",
            "country_code": "US",
            "telephone_number": "404-465-4282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUSSAIN",
        "first_name": "HINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "055063",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "74255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003105343A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

Verify at the official NPI Registry.