Individual provider Active NPI

Chadi Obeid, MD

  • Nephrology Physician
  • Stockbridge, GA
National Provider Identifier
1346470226
Registry record updated Oct 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
072606 Issued in GA
Practice address
3580 Cameron Parkway
Stockbridge, GA 30281-7816
Phone
(770) 996-6446
Fax
(770) 996-6279
NPI assigned
Jul 25, 2009
Last updated
Oct 10, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 072606 GA Primary

Addresses

Primary practice location

3580 Cameron Parkway
Stockbridge, GA 30281-7816

Mailing address

3580 Cameron Pkwy
Stockbridge, GA 30281-7816
Phone (770) 996-6446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20141010001694 GA Practitioner - Nephrology 8022233113 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southside Kidney Clinics, PCGroup PAC ID 7810955408, 3 clinicians

Practice addresses (Care Compare)

3580 Cameron Pkwy
Stockbridge, GA 30281-7816
Phone (770) 996-6446

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
072606GAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southside Kidney Clinics, PC Nephrology CurrentSince Aug 8, 2014 Accepting new patients

Locations

3580 Cameron Pkwy
Stockbridge, GA 30281
Phone (770) 996-6446

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCDIAA

Organizations & group practices 1

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 4

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": "1248480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412899200000",
    "number": "1346470226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3580 CAMERON PKWY",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817816",
            "telephone_number": "770-996-6446",
            "fax_number": "770-996-6279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3580 CAMERON PARKWAY",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817816",
            "telephone_number": "770-996-6446",
            "fax_number": "770-996-6279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBEID",
        "first_name": "CHADI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-25",
        "last_updated": "2014-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "072606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.