Active NPI
Moinuddin Kazi, MD
- Family Medicine Physician
- Dunwoody, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 042868
- Practice address
- 4480 N Shallowford Rd
Ste 200
Dunwoody, GA 30338 - Phone
- (770) 455-8285
- Fax
- (770) 350-8973
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | GA 042868 | GA | |
| Family Medicine Physician | 207Q00000X | 042868 | GA | Primary |
Addresses
Primary practice location
4480 N Shallowford Rd
Ste 200
Dunwoody, GA 30338
Mailing address
2803 Priestcliff Dr
Smyrna, GA 30080
Phone (770) 434-5061
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000776432E | Medicaid | GA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060223000496 | GA | Practitioner - Family Practice | 3678589975 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Afc Physicians of Georgia Urgent Care PCAfc Physicians of Georgia PC
Practice addresses (Care Compare)
3481 Ernest Barrett Pkwy
Marietta, GA 30064-2703
Phone (678) 348-5119
5001 Peachtree Blvd
Suite 115
Chamblee, GA 30341-2799
Phone (770) 458-8929
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.78 of 100
- Quality
- 73.65
- Improvement activities
- 40
- Cost
- 84.4
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.25 of 100
- Quality
- 75
- Improvement activities
- 40
- Cost
- 77.51
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GA 042868 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Afc Physicians of Georgia Urgent Care, PC | Current | Accepting new patients | |
| Afc Physicians of Georgia, PC | Current | Accepting new patients | |
| Afc Physicians of Georgia Primary Care, PC | Family Medicine | Current | Accepting new patients |
| Afc Physicians of Georgia Primary Care, PC | Family Medicine | Current | Accepting new patients |
Locations
3700 Cahaba Beach Rd
Hoover, AL 35242
Phone (205) 403-8902
5001 Peachtree Blvd
Ste 115
Chamblee, GA 30341
Phone (770) 458-8929
6509 Gateway Rd
Columbus, GA 31909
Phone (706) 243-0174
26 Parkway Dr
Ft Oglethorpe, GA 30742
Phone (706) 956-2846
3481 Ernest W Barrett Pkwy SW
Marietta, GA 30064
Phone (678) 348-5119
12994 Highway 9 N
Milton, GA 30004
Phone (678) 205-8155
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Ft. Oglethorpe, GA
- NPI 1780062380
Family Medicine, GA
-
- Primary Care Clinic/Center
- Ft Oglethorpe, GA
- NPI 1083005565
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260230400000",
"number": "1487746483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2803 PRIESTCLIFF DR",
"city": "SMYRNA",
"state": "GA",
"postal_code": "30080",
"telephone_number": "770-434-5061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4480 N SHALLOWFORD RD",
"address_2": "STE 200",
"city": "DUNWOODY",
"state": "GA",
"postal_code": "30338",
"telephone_number": "770-455-8285",
"fax_number": "770-350-8973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAZI",
"first_name": "MOINUDDIN",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2009-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "GA 042868",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "042868",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000776432E",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dunwoody, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; 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.