Individual provider Active NPI

Moinuddin Kazi, MD

  • Family Medicine Physician
  • Dunwoody, GA
National Provider Identifier
1487746483
Registry record updated Dec 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
042868 Issued in GA
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

Updated by the provider on Dec 8, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000776432EMedicaidGA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 PC 5 clinicians
Afc Physicians of Georgia PC 12 clinicians

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 100Reported as group
Quality
73.65
Improvement activities
40
Cost
84.4

Merit-based Incentive Payment System (MIPS)

Final score
83.25 of 100Reported as group
Quality
75
Improvement activities
40
Cost
77.51

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
GA 042868GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Afc Physicians of Georgia Urgent Care, PC CurrentSince May 13, 2021 Accepting new patients
Afc Physicians of Georgia, PC CurrentSince Sep 17, 2025 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 CurrentSince May 1, 2022 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.

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

Verify at the official NPI Registry.