Organization Active NPI

Syah, LLC

  • Internal Medicine Physician
  • Oakwood, GA
National Provider Identifier
1386945491
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SYAH, LLC
Practice address
4205 Mundy Mill PL
Oakwood, GA 30566-2566
Phone
(770) 532-0800
Fax
(770) 532-0835
NPI assigned
Nov 4, 2010
Organization subpart
Yes
Parent organization
SYAH, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ayham Haddad, M.D.
Title
Owner
Phone
(770) 532-0800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X GA
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X GA Primary

Addresses

Primary practice location

4205 Mundy Mill PL
Oakwood, GA 30566-2566

Mailing address

1250 Jesse Jewell Pkwy SE
Suite 300
Gainesville, GA 30501-3865
Phone (770) 532-0800

Other practice location 1

3885 Mundy Mill Rd
Unit 114
Oakwood, GA 30566-3432
Phone (770) 532-0820

Other names 1

  • Guilford Immediate Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Syah5 organizations share this tax ID, including this one
Part of
Syah

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4205 Mundy Mill Pl
Oakwood, GA 30566
Phone (770) 287-1140

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1386945491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 JESSE JEWELL PKWY SE",
            "address_2": "SUITE 300",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013865",
            "telephone_number": "770-532-0800",
            "fax_number": "770-532-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 MUNDY MILL PL",
            "city": "OAKWOOD",
            "state": "GA",
            "postal_code": "305662566",
            "telephone_number": "770-532-0800",
            "fax_number": "770-532-0835"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3885 Mundy Mill Rd",
            "address_2": "Unit 114",
            "address_purpose": "LOCATION",
            "city": "Oakwood",
            "state": "GA",
            "postal_code": "305663432",
            "country_code": "US",
            "telephone_number": "770-532-0820",
            "fax_number": "770-532-0835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SYAH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SYAH, LLC",
        "enumeration_date": "2010-11-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HADDAD",
        "authorized_official_first_name": "AYHAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-532-0800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guilford Immediate Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakwood, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.