Syeda Heena Fatima, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

65963 Issued in GA

Practice address

3945 Lawrenceville Hwy NW # 29
Lilburn, GA 30047

Phone

(678) 380-8353

Fax

(678) 380-8388

NPI assigned

Jan 9, 2009

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in GA, AL2 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 2

Specialty

Emergency Medicine

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Small Hospital Innovations LLCGroup PAC ID 0840415444, 95 clinicians

Houston Hospitalist Group LLCGroup PAC ID 2769813906, 48 clinicians

Paragon Contracting Services LLCGroup PAC ID 3971417825, 404 clinicians

Erx Group LLCGroup PAC ID 9335037571, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Emory Houston Hospital Warner Robins Hospital, Warner Robins, GA, CCN 110069
• Southern Regional Medical Center Hospital, Riverdale, GA, CCN 110165
• Dorminy Medical Center Hospital, Fitzgerald, GA, CCN 111339

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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.

• Erx Group, LLC

  • Emergency Medicine Physician
  • Alma, GA
  • NPI 1760823082
  Medicare reassignment Care Compare group NPD
• Houston Hospitalist Group LLC

  • Hospitalist Physician
  • Warner Robins, GA
  • NPI 1962040147
  Medicare reassignment Care Compare group NPD
• Small Hospital Innovations LLC

  • Emergency Medicine Physician
  • Clewiston, FL
  • NPI 1184040560

  GA

  Medicare reassignment Care Compare group NPD
• Paragon Contracting Services LLC

  • Emergency Medicine Physician
  • Birmingham, AL
  • NPI 1225071459
  Medicare reassignment Care Compare group
• Houston County Emergency Group, LLC

  • Emergency Medicine Physician
  • Warner Robins, GA
  • NPI 1013338193
  Medicare reassignment NPD
• Phoebe Sumter Medical Center, Inc.

  • General Acute Care Hospital
  • Americus, GA
  • NPI 1609001312
  Medicare reassignment NPD
• Phoebe Worth Medical Center, Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Sylvester, GA
  • NPI 1760460448
  Medicare reassignment NPD
• Reid Emergency Group, PC

  • Emergency Medicine Physician
  • Eatonton, GA
  • NPI 1659872497
  Medicare reassignment NPD
• United Emergency Services, Inc.

  • Emergency Medicine Physician
  • Booneville, MS
  • NPI 1326007915

  GA

  Medicare reassignment
• Houston County Emergency Group, LLC

  • Emergency Medicine Physician
  • Perry, GA
  • NPI 1467873547
  NPD
• Houston Hospitalist Group LLC

  • Hospitalist Physician
  • Perry, GA
  • NPI 1831717511
  NPD
• Phoebe Sumter Medical Center, Inc

  dba Phoebe Sumter Ellaville Clinic

  • Rural Health Clinic/Center
  • Ellaville, GA
  • NPI 1376778001
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hospital Authority of Ben Hill

  dba Dorminy Medical Center

  • Critical Access Hospital
  • Fitzgerald, GA
  • NPI 1245248624
  Care Compare affiliation
• Houston Hospitals Inc

  dba Emory Hospital Perry

  • General Acute Care Hospital
  • Perry, GA
  • NPI 1891808499
  Care Compare affiliation
• Houston Hospitals Inc

  dba Emory Hospital Warner Robins

  • General Acute Care Hospital
  • Warner Robins, GA
  • NPI 1962435792
  Care Compare affiliation
• Prime Healthcare Foundation - Southern Regional, LLC

  dba Southern Regional Medical Center

  • General Acute Care Hospital
  • Riverdale, GA
  • NPI 1154795581
  Care Compare affiliation

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

{
    "created_epoch": "1231459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1447497607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3945 LAWRENCEVILLE HWY NW # 29",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300472817",
            "telephone_number": "678-380-8353",
            "fax_number": "678-380-8388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3945 LAWRENCEVILLE HWY NW # 29",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "30047",
            "telephone_number": "678-380-8353",
            "fax_number": "678-380-8388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATIMA",
        "first_name": "SYEDA",
        "middle_name": "HEENA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-09",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "065963",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "L.2990",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "65963",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "065963",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCED CARDIAC LIFE SUPPORT PROVIDER CERTIFICATION",
            "identifier": "0846248429",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN#",
            "identifier": "202I081470",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA STATE LICENSE#",
            "identifier": "65963",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER ID#",
            "identifier": "12268599",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Lilburn, GA
• Providers in Lilburn, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.