Organization Active NPI

M. Ramzy Hajmurad, M. D., P.C.

  • Urology Physician
  • Austell, GA
National Provider Identifier
1467759837
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
021704 Issued in GA
Legal business name
M. RAMZY HAJMURAD, M. D., P.C.
Practice address
1810 Mulkey Rd
Suite 205
Austell, GA 30106-1151
Phone
(770) 941-8508
Fax
(770) 941-8542
NPI assigned
Feb 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

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

Authorized official

Name
Dr. M. Ramzy HajmuradNPI 1346376621
Title
Owner
Phone
(770) 941-8508

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 021704 GA Primary

Addresses

Primary practice location

1810 Mulkey Rd
Suite 205
Austell, GA 30106-1151

Mailing address

1810 Mulkey Rd
Suite 205
Austell, GA 30106-1151
Phone (770) 941-8508

Other identifiers 1

IdentifierTypeStateIssuer
00202738AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141107001821 GA Part B Supplier - Clinic/Group Practice 0749402618 Receives reassigned benefits from 1 practitioner
Practice locations: Austell, GA

National Provider Directory

National Provider Directory

Locations

1810 Mulkey Rd
Ste 205
Austell, GA 30106
Phone (770) 489-4978

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1298332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414022400000",
    "number": "1467759837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 MULKEY RD",
            "address_2": "SUITE 205",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061151",
            "telephone_number": "770-941-8508",
            "fax_number": "770-941-8542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 MULKEY RD",
            "address_2": "SUITE 205",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061151",
            "telephone_number": "770-941-8508",
            "fax_number": "770-941-8542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. RAMZY HAJMURAD, M. D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-22",
        "last_updated": "2014-10-23",
        "status": "A",
        "authorized_official_last_name": "HAJMURAD",
        "authorized_official_first_name": "M. RAMZY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-941-8508",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "GA",
            "license": "021704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00202738A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.