Falahat Ali Farooqui, M.D.

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

79473 Issued in GA

Practice address

1800 Hog Mountain Rd BLDG 200-103
Watkinsville, GA 30677-1950

Phone

(678) 841-5240

NPI assigned

Apr 12, 2013

Last updated

Jan 29, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Internal MedicineAlso: Geriatric Medicine

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Greater Atlanta MD Inc

  • Geriatric Medicine (Internal Medicine) Physician
  • Lawrenceville, GA
  • NPI 1760023121
  Medicare reassignment NPD Authorized official
• Psychiatric Services of America

  • Psychiatry Physician
  • Lawrenceville, GA
  • NPI 1508087792
  Medicare reassignment
• PMR Georgia Holding, LLC

  dba Jencare Neighborhood Medical Center

  • Specialist
  • Miami Gardens, FL
  • NPI 1609329630
  NPD
• Salveo Integrative Health

  • Psychiatry Physician
  • Lawrenceville, GA
  • NPI 1548513211
  NPD (past)

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

{
    "created_epoch": "1365724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1447693056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 681",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300460681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 HOG MOUNTAIN RD BLDG 200-103",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306771950",
            "telephone_number": "678-841-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAROOQUI",
        "first_name": "FALAHAT",
        "middle_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-12",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "79473",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "GA",
            "license": "79473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lexie Evans, RBTS
• Vickie Adams Evans, RPH
• Christopher Brian Everett, M.D.
• Carolyn Fagan
• Jennifer Michele Farmer, MA
• Anna Reese Faulknor
• Brianna Favors
• Martha Banks Fay, M.ED.
• Elena Victoria Fercilien, PA-C
• Sally Fernandez, RBT

• Geriatric Medicine (Internal Medicine) Physician in Watkinsville, GA
• Providers in Watkinsville, GA by specialty
• Geriatric Medicine (Internal Medicine) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.