Active NPI
Cici Zhang, MD
- Colon & Rectal Surgery Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- 77670
- Practice address
- 5445 Meridian Mark Rd Ste 180
Atlanta, GA 30342-4755 - Phone
- (770) 277-4277
- Fax
- (404) 252-5745
- NPI assigned
- May 17, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Colon & Rectal Surgery Physician | 208C00000X | 77670 | GA | Primary |
Addresses
Primary practice location
5445 Meridian Mark Rd Ste 180
Atlanta, GA 30342-4755
Mailing address
33 11TH St NE Unit 1909
Atlanta, GA 30309-4673
Phone (847) 436-2067
Other names 1
- Xifan Zhang
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
- Colorectal Surgery (Proctology)
- Education
- Indiana University School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physiotherapy Associates Inc
Practice addresses (Care Compare)
1321 Interstate Pkwy
Augusta, GA 30909-5626
Phone (706) 945-0810
5445 Meridian Mark Rd
Suite 180
Atlanta, GA 30342-4755
Phone (770) 277-4277
5513 Chamblee Dunwoody Rd
Dunwoody, GA 30338-4106
Phone (770) 551-9633
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 20 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77670 | GA | MD | Colon & Rectal Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwell Health | Current | Accepting new patients | |
| Northside Surgical Professional Services LLC | Current | Accepting new patients | |
| Georgia Colon & Rectall Surgical Associates PC | Colon & Rectal Surgery | Past | Accepting new patients |
Locations
721 Wellness Way
Ste 200
Lawrenceville, GA 30046
1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737
1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000
5445 Meridian Mark Rd
Ste 180
Sandy Springs, GA 30342
Interoperability endpoints
- cicizhang@northwell.allscriptsdirect.net
Organizations & group practices 4
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.
-
- Surgery Physician
- Atlanta, GA
- NPI 1356630990
-
- Physical Therapist
- Augusta, GA
- NPI 1679286934
-
- Rehabilitation Hospital Unit
- Glen Cove, NY
- NPI 1619336260
-
- Colon & Rectal Surgery Physician
- Atlanta, GA
- NPI 1285678532
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
-
- General Acute Care Hospital
- Lawrenceville, GA
- NPI 1952340994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597017600000",
"number": "1528328077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 11TH ST NE UNIT 1909",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303094673",
"telephone_number": "847-436-2067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5445 MERIDIAN MARK RD STE 180",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303424755",
"telephone_number": "770-277-4277",
"fax_number": "404-252-5745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZHANG",
"first_name": "CICI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-17",
"last_updated": "2020-08-10",
"certification_date": "2020-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "GA",
"license": "77670",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "XIFAN",
"last_name": "ZHANG",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.