Active NPI
Syed Adnan Haider, M.D.
- Pain Medicine Physician
- Peachtree City, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- 61084
- 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
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 036-114295 | IL | |
| Pain Medicine Physician | 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
Enrollment records 1
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-114295 | IL | MD | Anesthesiology Physician |
| 61084 | GA | MD | Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Haider Pain Management PC | Single Specialty | Current | 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 | Past | Accepting new patients |
| The Board of Trustees of the University of Illinois | Past | 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.
-
- Interventional Pain Medicine Physician
- Peachtree City, GA
- NPI 1942688999
Single Specialty
-
- Anesthesiology Physician
- Newnan, GA
- NPI 1033300298
Single Specialty
-
- Anesthesiology Physician
- Fort Wayne, IN
- NPI 1639176837
Single Specialty
-
- Occupational Medicine Physician
- Chicago, IL
- NPI 1043727571
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; 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.