Timothy Hakim, MS, CGC

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

License

480 Issued in GA

Practice address

1100 Johnson Fy Rd NE Ste 350
Atlanta, GA 30342-1740

Phone

(404) 851-6284

NPI assigned

Feb 17, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Northside Surgical Professional Services LLC

  • Surgery Physician
  • Atlanta, GA
  • NPI 1356630990
  NPD (past)

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

{
    "created_epoch": "1645056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1518612647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 BERKFORD CT NE",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303191707",
            "telephone_number": "928-978-5435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 JOHNSON FY RD NE STE 350",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421740",
            "telephone_number": "404-851-6284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAKIM",
        "first_name": "TIMOTHY",
        "name_prefix": "Mr.",
        "credential": "MS, CGC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-17",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "GA",
            "license": "480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENETIC COUNSELOR LICENSE",
            "identifier": "480",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ABGC: CERTIFIED GENETIC COUNSELOR AND DIPLOMATE",
            "identifier": "20193",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Farid Hajibonabi, MD
• Ardalan Hajikhalili, PHARM.D.
• Jamal Hajjari, M.D.
• Erika N Hakala, FNP-BC, CPNP
• Ali R Hakami, DC
• Tariq S Hakky, MD
• Hal N Arnold DMD Ms PC
• Jessy P Halaby
• Amariy Shemiyah Halahawi, ND, CCMA, CNA, NPA.P
• Michael Scott Halan, D.C.

• Genetic Counselor (M.S.) in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Genetic Counselor (M.S.) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.