Individual provider Active NPI

Muhammad Ali Pervaiz, MD

  • Psychiatry Physician
  • Roswell, GA
National Provider Identifier
1417174186
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
060549 Issued in GA
Practice address
3000 Hospital Blvd
Roswell, GA 30076-4915
Phone
(770) 751-2777
NPI assigned
Apr 20, 2007
Last updated
Apr 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Genetics (M.D.) Physician 207SG0201X 060549 GA
Psychiatry Physician 2084P0800X 060549 GA Primary
Hospitalist Physician 208M00000X 13465 NH
Hospitalist Physician 208M00000X 060549 GA
Hospitalist Physician 208M00000X 50398-20 WI
Clinical Pathology Physician 207ZC0006X 53443 MN
Clinical Pathology Physician 207ZC0006X 105011 MN
Phlebology Physician 202K00000X 60549 GA

Addresses

Primary practice location

3000 Hospital Blvd
Roswell, GA 30076-4915

Mailing address

7125 Orchard Lake Rd Ste 120
West Bloomfield, MI 48322-3627
Phone (866) 607-2308

Other practice location 1

11660 Alpharetta Hwy Ste 515
Roswell, GA 30076-3887
Phone (866) 607-2308

Other identifiers 1

IdentifierTypeStateIssuer
30207035MedicaidNH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mpervaiz33022@directwellstar.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, WI, NM, FL5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20080527000417 GA Practitioner - HospitalistPractitioner - Internal Medicine 9830290519 Reassigns benefits to 8 organizations
I20170807001261 WI Practitioner - Internal Medicine 9830290519 Reassigns benefits to 1 organization
I20230310000365 WI Practitioner - Hospitalist 9830290519 Reassigns benefits to 1 organization
I20231031001581 NM Practitioner - Internal Medicine 9830290519 Reassigns benefits to 1 organization
I20240923000422 FL Practitioner - HospitalistPractitioner - Internal Medicine 9830290519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2001
Medicare assignment
May accept Medicare assignment
Group practices
North Atlanta Professional Services LLCGroup PAC ID 0840291944, 423 clinicians
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians
Apogee Medical Group GeorgiaGroup PAC ID 4587676945, 122 clinicians

Practice addresses (Care Compare)

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

1200 Northside Forsyth Dr
Cumming, GA 30041-7659
Phone (770) 844-3200

2518 Jimmy Lee Smith Pkwy
Hiram, GA 30141-2068
Phone (770) 732-4022

3000 Hospital Blvd
Roswell, GA 30076-4915
Phone (770) 751-2912

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

625 Church Nest
Marietta, GA 30060-1101
Phone (770) 422-2004

677 Church Nest
Marietta, GA 30060-1101

677 Church St NE
Suite 100P
Marietta, GA 30060-1101
Phone (470) 793-8585

705 Dixie St
Carrollton, GA 30117-3818
Phone (770) 812-9666

8954 Hospital Dr
Douglasville, GA 30134-2272
Phone (678) 838-2585

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.29 of 100Reported as group
Quality
70.79
Improvement activities
40
Cost
81.32

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
88.68 of 100Reported as group
Quality
82.35
Promoting interoperability
100
Improvement activities
40
Cost
76.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60549GAMDPhlebology Physician
105011MNMDClinical Pathology Physician
060549GAMDHospitalist Physician
13465NHMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services CurrentSince Oct 4, 2023 Accepting new patients
Baldwin Area Medical Center Inc. CurrentSince Jan 1, 2023 Accepting new patients
Benning Hospitalist Services, LLC Hospitalist CurrentSince Apr 1, 2019 Accepting new patients
Presbyterian Healthcare Services CurrentSince Oct 4, 2023 Accepting new patients
Gainesville Mental Health Services LLC Psychiatry CurrentSince Oct 24, 2022 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Jan 20, 2013 Accepting new patients
The Emory Clinic Inc Hospitalist CurrentSince Oct 1, 2011 Accepting new patients
Baldwin Area Medical Center, Inc. CurrentSince Jan 1, 2023 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Cogent Healthcare of Georgia PC Hospitalist CurrentSince May 15, 2025 Accepting new patients
Apogee Medical Group Georgia Inc Hospitalist CurrentSince Apr 1, 2019 Accepting new patients
Muscogee Hospitalist Services, LLC Hospitalist CurrentSince Apr 1, 2019 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Jan 20, 2013 Accepting new patients
Villages Regional Hospital Physician Services LLC CurrentSince Sep 13, 2024 Accepting new patients
MVC Ga, LLC CurrentSince Aug 26, 2026 Accepting new patients
South Georgia Medical Center Inc Past Accepting new patients
Appledore Medical Group Inc Hospitalist Past Accepting new patients
Ibn Sina Healthcare Past Accepting new patients
Appledore Medical Group, Inc Past Accepting new patients

Locations

10435 SE 170th Pl
Summerfield, FL 34491
Phone (352) 245-7788

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

200 Allen Memorial Dr
Bremen, GA 30110
Phone (770) 537-5851

705 Dixie St
Carrollton, GA 30117
Phone (770) 812-9666

100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

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

2165 N Decatur Rd
Decatur, GA 30033
Phone (404) 778-8500

8954 Hospital Dr
Douglasville, GA 30134
Phone (678) 838-2584

1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500

2565 Thompson Bridge Rd
Ste 111
Gainesville, GA 30501
Phone (470) 208-6470

5150 Stilesboro Rd NW
Ste 120
Kennesaw, GA 30152
Phone (678) 354-0230

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

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

11660 Alpharetta Hwy
Ste 515
Roswell, GA 30076

3000 Hospital Blvd
Roswell, GA 30076
Phone (770) 751-2500

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

601 Dallas Hwy
Villa Rica, GA 30180
Phone (770) 456-3000

1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124

8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

1100 Bergslien St
Baldwin, WI 54002
Phone (715) 684-1111

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: mpervaiz237922@direct.phs.org
  • Direct secure messaging: mpervaiz33022@directwellstar.org
  • Direct secure messaging: mpervaiz728323@direct.shands.ufl.edu

Organizations & group practices 21

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.

View all 21

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": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1417174186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7125 ORCHARD LAKE RD STE 120",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223627",
            "telephone_number": "866-607-2308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 HOSPITAL BLVD",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764915",
            "telephone_number": "770-751-2777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11660 Alpharetta Hwy Ste 515",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "GA",
            "postal_code": "300763887",
            "country_code": "US",
            "telephone_number": "866-607-2308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERVAIZ",
        "first_name": "MUHAMMAD",
        "middle_name": "ALI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "GA",
            "license": "060549",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "060549",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NH",
            "license": "13465",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "060549",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WI",
            "license": "50398-20",
            "primary": false
        },
        {
            "code": "207ZC0006X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology",
            "state": "MN",
            "license": "53443",
            "primary": false
        },
        {
            "code": "207ZC0006X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology",
            "state": "MN",
            "license": "105011",
            "primary": false
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "GA",
            "license": "60549",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30207035",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mpervaiz33022@directwellstar.org",
            "affiliation": "N",
            "address_1": "3000 Hospital Blvd",
            "city": "Roswell",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300764915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

Verify at the official NPI Registry.