Haroon Afzal Mian, MD
Individual provider Active NPI Family Medicine Physician · Canton, GA
NPI 1326210899 · NPPES record last updated Mar 8, 2018
Key facts
- NPI
- 1326210899
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 066222 (GA)
- Practice address
- 10515 Bells Ferry Rd Ste 200
Canton, GA 30114-4204 - Phone
- (678) 493-0752
- Fax
- (678) 493-2401
- NPI assigned
- Mar 25, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Medlink Georgia Inc
Practice addresses (Care Compare)
11 Charlie Morris Rd
Colbert, GA 30628-2445
Phone (706) 788-2127
17 White St
Cleveland, GA 30528-1140
Phone (706) 969-7510
2000 Prince Ave
Athens, GA 30606-6022
Phone (706) 521-3113
247 Union Point St
Lexington, GA 30648-2303
Phone (706) 743-8171
520 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3779
Phone (770) 287-0290
Hospital & facility affiliations
- Tugaloo Home Health Agency, an Amedisy Company
- Piedmont Athens Regional Medical Center
- Northeast Georgia Medical Center, Inc
- Northeast Georgia Medical Center Habersham
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111109000639 | GA | Practitioner - Family Practice | 9830385244 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perimeter North Family Practice LLC | Family Medicine | Current |
Accepting new patients |
| Healogics Specialty Physicians of Georgia, LLC | Current |
Accepting new patients | |
| Medlink Georgia, Inc | Current |
Accepting new patients | |
| Peachtree Immediate Care FP, LLC | Family Medicine | Current |
Accepting new patients |
| Healogics Specialty Physicians of Georgia, LLC | Current |
Accepting new patients | |
| Ten Med LLC | Current |
Accepting new patients | |
| Medlink Georgia Inc | Current |
Accepting new patients | |
| Endocrine Specialists of Georgia, LLC | Past |
Accepting new patients | |
| Acworth Immediate Care LLC | Past | Accepting new patients | |
| Afc Physicians of Georgia, PC | Past | Accepting new patients | |
| Medlink Georgia Inc | Past | Accepting new patients | |
| Peachtree Immediate Care UC, LLC | Past | Accepting new patients |
Locations
5220 Belfort Rd
Ste 130
Jacksonville, FL 32256
Phone (904) 446-3686
3400 Old Milton Pkwy
Ste 130
Alpharetta, GA 30005
Phone (770) 664-8898
17 White St
Cleveland, GA 30528
Phone (706) 865-4001
2648 Highway 129 N
Cleveland, GA 30528
Phone (706) 725-4000
11 Charlie Morris Rd
Colbert, GA 30628
Phone (706) 738-3234
11 Charlie Morris Rd
Bldg 2
Colbert, GA 30628
Phone (706) 738-3234
2575 Peachtree Pkwy
Ste 250
Cumming, GA 30041
Phone (404) 251-1880
590 Lanier Ave W
Fayetteville, GA 30214
1275 Highway 54 W
Ste 201
Fayetteville, GA 30214
Phone (770) 461-3776
898 Battlefield Pkwy
Fort Oglethorpe, GA 30742
Phone (706) 406-1860
2035 Calvary Church Rd
Gainesville, GA 30507
Phone (706) 237-8722
520 Jesse Jewell Pkwy SE
Gainesville, GA 30501
Phone (770) 287-0290
3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900
2748 Winder Hwy
Jefferson, GA 30549
Phone (706) 367-1894
247 Union Point St
Lexington, GA 30648
Phone (706) 743-8171
705 Breedlove Dr
Ste 300
Monroe, GA 30655
Phone (678) 635-7221
5673 Peachtree Dunwoody Rd
Ste 320
Sandy Springs, GA 30342
Phone (404) 855-5660
2295 Ronald Reagan Pkwy
Ste 300
Snellville, GA 30078
Phone (678) 907-3242
56 Firewater Ln
Suches, GA 30572
Phone (706) 747-1036
Interoperability endpoints
- haroon.mian.1@30520.direct.athenahealth.com
- haroon.mian.1@9864.direct.athenahealth.com
- haroon.mian@mgi.eclinicaldirectplus.com
- haroonmian@pnfm.allscriptsdirect.net
- tenmedllc.haroonmian@159903.advancedmd-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 066222 | GA | Yes |
Addresses
Primary practice location
10515 Bells Ferry Rd Ste 200
Canton, GA 30114-4204
Mailing address
460 Northside Cherokee Blvd
Ste 170
Canton, GA 30114
Phone (770) 721-9170
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003127721G | Medicaid | GA | |
| 111291 | Other | KY | SIHO |
| 003127721F | Medicaid | GA | |
| 000000645993 | Other | KY | ANTHEM |
Other providers in Canton, GA
- Meridian Health and Wellness LLC
- Scott Vidar Merritt
- David C. Meyer
- Jennifer Meyer
- Mary Meyer
- Midcity Pharmacy
- Midcity Pharmacy LTC
- Sasha Nicole Milks
- Aaron Robert Millage
- George Macgregor Miller
All providers in Canton, GA · Family Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.