Individual provider Active NPI

Ahmed Naser Ali, M.D.

  • Radiation Oncology Physician
  • Jonesboro, GA
National Provider Identifier
1396808010
Registry record updated Oct 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
065988 Issued in GA
Practice address
2400 Mt. Zion Parkway
Kaiser Permanente Southwood Medical Center
Jonesboro, GA 30236
Phone
(215) 662-3957
NPI assigned
Dec 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2013

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT189287 PA
Radiation Oncology Physician 2085R0001X MD435649 PA
Radiation Oncology Physician 2085R0001X 65988 GA
Radiation Oncology Physician 2085R0001X 065988 GA Primary

Addresses

Primary practice location

2400 Mt. Zion Parkway
Kaiser Permanente Southwood Medical Center
Jonesboro, GA 30236

Mailing address

3495 Piedmont Road, NE
Nine Piedmont Center
Atlanta, GA 30305
Phone (404) 364-7070

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
I20110823000595 GA Practitioner - Radiation Oncology 2062682412 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Perelman School of Med at the University of Pennsylvania, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Atlanta Professional Services LLCGroup PAC ID 0840291944, 423 clinicians

Practice addresses (Care Compare)

1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606
Phone (404) 851-8000

Hospital & facility affiliations

  • Northside Hospital Forsyth Hospital, Cumming, GA, CCN 110005
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161
  • Piedmont Hospital, Inc Hospital, Atlanta, GA, CCN 110083

Merit-based Incentive Payment System (MIPS)

Final score
98.79 of 100Reported as group
Quality
98.74
Improvement activities
40
Cost
83.11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT189287PAMDInternal Medicine Physician
MD435649PAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Atlanta Professional Services LLC Radiation Oncology CurrentSince Aug 1, 2018 Accepting new patients
The Southeast Permanente Medical Group Internal Medicine CurrentSince Sep 30, 2013 Accepting new patients
Northside Hospital, Inc. Past Accepting new patients
Peachtree Radiation Oncology Services PC Radiation Oncology Past Accepting new patients
Radiotherapy Clinics of Georgia,LLC Past Accepting new patients

Locations

3400 Old Milton Pkwy
Ste B
Alpharetta, GA 30005
Phone (770) 442-1413

1110 W Peachtree St NW
Ste 100
Atlanta, GA 30309
Phone (404) 575-2050

1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222

3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000

791 Oak St
Ste 100
Atlanta, GA 30354

308 Deep South Farm Rd
Blairsville, GA 30512
Phone (678) 493-2527

450 Northside Cherokee Blvd
Ste 300
Canton, GA 30115

460 Northside Cherokee Blvd
Ste T10
Canton, GA 30115
Phone (770) 479-1761

1293 Wellbrook Cir NE
Ste 100
Conyers, GA 30012

7174 Wheat St NE
Ste 100
Covington, GA 30014

1200 Northside Forsyth Dr
Cumming, GA 30041
Phone (770) 292-4806

1100 Northside Forsyth Dr
Ste 140
Cumming, GA 30041
Phone (720) 382-1012

2349 Lawrenceville Hwy
Ste 100
Decatur, GA 30033

1000 Cowles Clinic Way
Ste E-100
Greensboro, GA 30642
Phone (478) 412-2880

214 Perry Hwy
Hawkinsville, GA 31036
Phone (478) 783-4022

2400 Mount Zion Pkwy
Jonesboro, GA 30236
Phone (770) 603-3649

311 Philip Blvd
Ste 100
Lawrenceville, GA 30046

698 Duluth Hwy
Ste 100
Lawrenceville, GA 30046
Phone (770) 822-0788

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

1770 Presidential Cir
Ste 100
Snellville, GA 30078

Organizations & group practices 5

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 3

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383177600000",
    "number": "1396808010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3495 PIEDMONT ROAD, NE",
            "address_2": "NINE PIEDMONT CENTER",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30305",
            "telephone_number": "404-364-7070",
            "fax_number": "770-916-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 MT. ZION PARKWAY",
            "address_2": "KAISER PERMANENTE SOUTHWOOD MEDICAL CENTER",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "30236",
            "telephone_number": "215-662-3957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "AHMED",
        "middle_name": "NASER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2013-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT189287",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PA",
            "license": "MD435649",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "GA",
            "license": "65988",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "GA",
            "license": "065988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, GA

Sources for this page

Verify at the official NPI Registry.