Individual provider Active NPI

Faizal Zangwio Asumda, MD

  • Clinical Genetics (M.D.) Physician
  • Augusta, GA
National Provider Identifier
1336602184
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Genetics (M.D.) PhysicianTaxonomy code 207SG0201X
License
92809 Issued in GA
Practice address
1120 15TH St
Augusta, GA 30912-2789
Phone
(706) 721-8623
Fax
(706) 721-1459
NPI assigned
Apr 9, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Genetics (M.D.) Physician 207SG0201X 70482 MN
Clinical Biochemical Genetics Physician 207SG0202X ME154953 FL
Clinical Genetics (M.D.) Physician 207SG0201X 92809 GA Primary

Addresses

Primary practice location

1120 15TH St
Augusta, GA 30912-2789

Mailing address

1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone (352) 265-0301

Other practice location 1

1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone (352) 265-0301

Other practice location 2

1270 Prince Ave Ste 201
Athens, GA 30606-2789
Phone (706) 475-7055

Other practice location 3

200 1st St SW
Rochester, MN 55905-2789
Phone (507) 284-2511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, KY, FL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20220720001698 GA Practitioner - Pediatric Medicine 8628468790 Reassigns benefits to 2 organizations
I20250619000276 KY Practitioner - Medical Genetics and Genomics 8628468790 Reassigns benefits to 1 organization
I20260204004118 FL Practitioner - Pediatric Medicine 8628468790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1699 SW 16TH Ave
Gainesville, FL 32608-1158

2001 SW 13TH St
Gainesville, FL 32608-1532
Phone (352) 265-8990

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
70482MNMDClinical Genetics (M.D.) Physician
ME154953FLMDClinical Biochemical Genetics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc CurrentSince Jan 30, 2026 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Norton Children's Medical Group, LLC CurrentSince May 19, 2025 Accepting new patients
Au Medical Associates Inc CurrentSince Jul 13, 2022 Accepting new patients
Norton Children's Medical Group, LLC CurrentSince May 19, 2025 Accepting new patients
Au Medical Associates Inc CurrentSince Jul 13, 2022 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Jan 30, 2026 Accepting new patients
Norton Children's Medical Group, LLC Current Accepting new patients
Wellstar Medical Group, LLC CurrentSince Nov 1, 2023 Accepting new patients

Locations

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

1120 15th St
#6000
Augusta, GA 30912
Phone (706) 721-3813

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

318 W Washington St
Glasgow, KY 42141
Phone (270) 651-8321

411 E Chestnut St
#2
Louisville, KY 40202
Phone (502) 588-0902

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

Organizations & group practices 9

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": "1554768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1336602184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326103003",
            "telephone_number": "352-265-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 15TH ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309122789",
            "telephone_number": "706-721-8623",
            "fax_number": "706-721-1459"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 SW Archer Rd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326103003",
            "country_code": "US",
            "telephone_number": "352-265-0301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1270 Prince Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306062789",
            "country_code": "US",
            "telephone_number": "706-475-7055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 1st St SW",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "559052789",
            "country_code": "US",
            "telephone_number": "507-284-2511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASUMDA",
        "first_name": "FAIZAL",
        "middle_name": "ZANGWIO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-09",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "MN",
            "license": "70482",
            "primary": false
        },
        {
            "code": "207SG0202X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Biochemical Genetics",
            "state": "FL",
            "license": "ME154953",
            "primary": false
        },
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "GA",
            "license": "92809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.