Individual provider Active NPI

Andrew Doughan, MD

  • Cardiovascular Disease Physician
  • McDonough, GA
National Provider Identifier
1386843852
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
056818 Issued in GA
Practice address
3333 Jodeco Rd
McDonough, GA 30253-5319
Phone
(770) 692-4000
Fax
(770) 474-8510
NPI assigned
Jul 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 056818 GA
Cardiovascular Disease Physician 207RC0000X 056818 GA Primary

Addresses

Primary practice location

3333 Jodeco Rd
McDonough, GA 30253-5319

Mailing address

3333 Jodeco Rd Ste a
McDonough, GA 30253-5371
Phone (770) 692-4000

Other identifiers 1

IdentifierTypeStateIssuer
771350663AMedicaidGA

Other names 1

  • Dr. Abdul Doughan Former name

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
I20090827000504 GA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0143375105 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlanta Heart Associates PCGroup PAC ID 6204737216, 19 clinicians

Practice addresses (Care Compare)

3333 Jodeco Rd
McDonough, GA 30253-5319
Phone 7706924000118

Hospital & facility affiliations

  • Piedmont Henry Hospital Hospital, Stockbridge, GA, CCN 110191
  • Piedmont Fayette Hospital Hospital, Fayetteville, GA, CCN 110215
  • Southern Regional Medical Center Hospital, Riverdale, GA, CCN 110165
  • Piedmont Hospital, Inc Hospital, Atlanta, GA, CCN 110083
  • Piedmont Newnan Hospital, Inc Hospital, Newnan, GA, CCN 110229

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
056818GAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Outpatient Imaging, LLC CurrentSince Feb 1, 2013 Accepting new patients
Atlanta Heart Associates PC Cardiovascular Disease CurrentSince Jul 1, 2009 Accepting new patients
Piedmont Henry Hospital, Inc. Current Accepting new patients

Locations

747 S 8th St
Ste A
Griffin, GA 30224
Phone (770) 233-3309

3333 Jodeco Rd
Ste A
McDonough, GA 30253
Phone (770) 692-4000

10 Eastbrook Bnd
Peachtree Cty, GA 30269
Phone (770) 305-4674

11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277

483 Upper Riverdale Rd SW
Ste C
Riverdale, GA 30274
Phone (770) 907-9009

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

350 Country Club Dr
Ste A
Stockbridge, GA 30281
Phone (770) 692-4000

4241 Vets Blvd
Ste 200
Metairie, LA 70006

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1184457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1386843852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 JODECO RD STE A",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302535371",
            "telephone_number": "770-692-4000",
            "fax_number": "770-474-8510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 JODECO RD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302535319",
            "telephone_number": "770-692-4000",
            "fax_number": "770-474-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHAN",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-15",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "056818",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "056818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "771350663A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABDUL",
            "last_name": "DOUGHAN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in McDonough, GA

Sources for this page

Verify at the official NPI Registry.