Alaa Mohammedsadik Aljiffry, MBBS
Individual provider Active NPI Pediatrics Physician · Atlanta, GA
NPI 1508024696 · NPPES record last updated Jan 21, 2021
Key facts
- NPI
- 1508024696
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 55907 (WI)
- Practice address
- 1405 Clifton Rd NE
Atlanta, GA 30322-4874 - Phone
- (404) 256-2593
- NPI assigned
- May 27, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Pediatric Medicine
- Education
- Other, 1999
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Atlanta, GA 30374
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171025001165 | GA | Practitioner - Pediatric Medicine | 9931378957 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Healthcare of Atlanta Cardiology Inc | Current |
Accepting new patients |
Locations
60 Executive Park South NE
Atlanta, GA 30329
2835 Brandywine Rd
Ste 400
Atlanta, GA 30341
2835 Brandywine Rd
Ste 300
Atlanta, GA 30341
Phone (770) 488-9202
1405 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 785-1112
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 55907 | WI | Yes |
Addresses
Primary practice location
1405 Clifton Rd NE
Atlanta, GA 30322-4874
Mailing address
2835 Brandywine Rd Ste 300
Atlanta, GA 30341-5540
Phone (404) 256-2593
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sibley@choa.gadirect.com | Health Information Exchange (HIE) | Children's Healthcare of Atlanta |
Other providers in Atlanta, GA
- Iheoma Alinnor
- Katherine Lynn Alioto
- Alis Behavioral Health of Georgia LLC
- Sahar Alizada
- Mohammad Zaid Aljabi
- Ahmed Assim Aljudi
- MHD Anas Alkhatib
- Dana Samih Moh'D Alkhulaifat
- Leen Alkukhun
- All 1 Family Services
All providers in Atlanta, GA · Pediatrics Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.