Individual provider Active NPI

Syed Adnan Haider, M.D.

  • Pain Medicine Physician
  • Peachtree City, GA
National Provider Identifier
1497967426
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
61084 Issued in GA
Practice address
324 Stevens Entry
Suite C
Peachtree City, GA 30269-1325
Phone
(770) 542-7636
Fax
(678) 489-5597
NPI assigned
May 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 036-114295 IL
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X 61084 GA Primary

Addresses

Primary practice location

324 Stevens Entry
Suite C
Peachtree City, GA 30269-1325

Mailing address

1050 Wall St W
Lyndhurst, NJ 07071-3621
Phone (201) 821-7900

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
I20080624000757 GA Practitioner - Anesthesiology 1153410154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

211 Prime PT
Peachtree City, GA 30269-3334
Phone (770) 542-7636

324 Stevens Entry
Suite C
Peachtree City, GA 30269-1325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-114295ILMDAnesthesiology Physician
61084GAMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Haider Pain Management PC Single Specialty CurrentSince Apr 14, 2015 Accepting new patients
Merit Lincoln Park, LLC Single Specialty Past Accepting new patients
Parkview Health System Inc Single Specialty Past Accepting new patients
Newnan Anesthesia Associates, LLC Single Specialty Past Accepting new patients
Haider Medical Inc Single Specialty PastSince Aug 1, 2012 Accepting new patients
The Board of Trustees of the University of Illinois PastSince Apr 6, 2023 Accepting new patients
Preferred Anesthesia Consultants, P.C. Single Specialty Past Accepting new patients

Locations

100 Plantation Ridge Dr
Ste A
Americus, GA 31709
Phone (770) 542-7636

105 Corporate Plaza Dr
#B
Lagrange, GA 30241

211 Prime Pt
Ste 2H
Peachtree Cty, GA 30269
Phone (770) 542-7636

316 W Gordon St
Thomaston, GA 30286
Phone (770) 542-7636

Organizations & group practices 7

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": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1497967426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 WALL ST W",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070713621",
            "telephone_number": "201-821-7900",
            "fax_number": "201-555-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 STEVENS ENTRY",
            "address_2": "SUITE C",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691325",
            "telephone_number": "770-542-7636",
            "fax_number": "678-489-5597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIDER",
        "first_name": "SYED",
        "middle_name": "ADNAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036-114295",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "GA",
            "license": "61084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree City, GA

Sources for this page

Verify at the official NPI Registry.