Individual provider Active NPI

Shoaib Muhammad Wazir, M.D

  • Nephrology Physician
  • Acworth, GA
National Provider Identifier
1407297823
Registry record updated May 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
103967 Issued in GA
Practice address
4450 Calibre Xing NW Ste 1126
Acworth, GA 30101-4104
Phone
(470) 227-8130
Fax
(470) 747-7588
NPI assigned
Jul 14, 2013
Last updated
May 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2025

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 103967 GA Primary

Addresses

Primary practice location

4450 Calibre Xing NW Ste 1126
Acworth, GA 30101-4104

Mailing address

4450 Calibre Xing NW Ste 1126
Acworth, GA 30101-4104
Phone (470) 227-8130

Other identifiers 1

IdentifierTypeStateIssuer
Z262200MedicaidAZ

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
I20250508000181 GA Practitioner - NephrologyPractitioner - Internal Medicine 8426342254 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Preferred Vascular Services NortheastGroup PAC ID 3577815695, 11 clinicians
Preferred Vascular Services SouthwestGroup PAC ID 0446502918, 13 clinicians
Cowry Medical Group LLCGroup PAC ID 3577814318, 6 clinicians
Preferred Vascular Services Northwest LLCGroup PAC ID 1850552142, 13 clinicians
Preferred Vascular Services Macon LLCGroup PAC ID 6406108984, 3 clinicians

Practice addresses (Care Compare)

1 Dunwoody Park
Suite 140
Atlanta, GA 30338-6708
Phone (404) 554-2080

3885 Princeton Lakes Way SW
Suite 312B
Atlanta, GA 30331-7100
Phone (404) 349-7770

4450 Calibre Xing NW
Suite 1126
Acworth, GA 30101-4104
Phone (470) 277-8130

711 Canton Rd NE
Suite 220
Marietta, GA 30060-8949
Phone (404) 554-2196

889 2ND St
Macon, GA 31201-6862
Phone (478) 254-9363

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
103967GAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Vascular Services Macon LLC CurrentSince Jan 1, 2026 Accepting new patients
Preferred Vascular Services Northwest, LLC CurrentSince Jan 1, 2026 Accepting new patients
Cowry Medical Group, LLC Nephrology CurrentSince May 1, 2025 Accepting new patients
Preferred Vascular Services Northeast CurrentSince Jan 1, 2026 Accepting new patients
Preferred Vascular Services Southwest CurrentSince Jan 1, 2026 Accepting new patients

Locations

9140 Corsea del Fontana Way
Naples, FL 34109
Phone (239) 597-2010

1720 Mars Hill Rd NW
Ste 120380
Acworth, GA 30101

4450 Calibre Xing NW
Ste 1126
Acworth, GA 30101
Phone (470) 227-8130

1 Dunwoody Park
Ste 140
Atlanta, GA 30338
Phone (404) 554-2080

3885 Princeton Lakes Way SW
Ste 312B
Atlanta, GA 30331
Phone (404) 349-7770

3885 Princeton Lakes Way SW
Ste 314
Atlanta, GA 30331
Phone (404) 349-7770

1 Dunwoody Park
Ste 130
Dunwoody, GA 30338
Phone (404) 554-2080

5461 Hillandale Dr
Ste 210
Lithonia, GA 30058
Phone (770) 981-8477

889 2nd St
Macon, GA 31201
Phone (478) 254-9363

711 Canton Rd NE
Ste 220
Marietta, GA 30060
Phone (404) 554-2196

711 Canton Rd NE
Ste 230
Marietta, GA 30060
Phone (404) 554-2196

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, 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": "1373760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746230400000",
    "number": "1407297823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 CALIBRE XING NW STE 1126",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301014104",
            "telephone_number": "470-227-8130",
            "fax_number": "470-747-7588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 CALIBRE XING NW STE 1126",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301014104",
            "telephone_number": "470-227-8130",
            "fax_number": "470-747-7588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAZIR",
        "first_name": "SHOAIB",
        "middle_name": "MUHAMMAD",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-14",
        "last_updated": "2025-05-03",
        "certification_date": "2025-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "103967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z262200",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Acworth, GA

Sources for this page

Verify at the official NPI Registry.