NPIMap

Individual provider Active NPI

Seema M Hisamuddin, M.D.

  • Internal Medicine Physician
  • Marietta, GA
National Provider Identifier
1497787998
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
045826 Issued in GA
Practice address
2655 Dallas Hwy SW
Suite 340
Marietta, GA 30064-2597
Phone
(678) 797-9800
Fax
(678) 797-9801
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 045826 GA Primary

Addresses

Primary practice location

2655 Dallas Hwy SW
Suite 340
Marietta, GA 30064-2597

Mailing address

2655 Dallas Hwy SW
Suite 340
Marietta, GA 30064-2597
Phone (678) 797-9800

Other identifiers 2

IdentifierTypeStateIssuer
200000006DMedicaidGA
200000006CMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060905000293 GA Practitioner - Internal Medicine 7416951462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cobb Internal Medicine AssociatesGroup PAC ID 8123186921, 2 clinicians

Practice addresses (Care Compare)

2655 Dallas Hwy
Suite 340
Marietta, GA 30064-7518

2655 Dallas Hwy SW
Suite 340
Marietta, GA 30064-7518
Phone (678) 797-9800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
045826GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cobb Internal Medicine Associates Internal Medicine CurrentSince Aug 1, 2008 Accepting new patients
Hospital Authority of Jefferson County and the City of Louisville Internal Medicine Past Accepting new patients
Hospital Authority of Jefferson County and the City of Louisville Past Accepting new patients

Locations

2655 Dallas Hwy SW
Ste 340
Marietta, GA 30064
Phone (678) 797-9800

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JBCGAA

Organizations & group practices 3

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1497787998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 DALLAS HWY SW",
            "address_2": "SUITE 340",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300642597",
            "telephone_number": "678-797-9800",
            "fax_number": "678-797-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 DALLAS HWY SW",
            "address_2": "SUITE 340",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300642597",
            "telephone_number": "678-797-9800",
            "fax_number": "678-797-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HISAMUDDIN",
        "first_name": "SEEMA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "045826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200000006D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200000006C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.