Afaq Alam Gul, M.D
Individual provider Active NPI Family Medicine Physician · Lexington, GA
NPI 1548422280 · NPPES record last updated Oct 18, 2021
Key facts
- NPI
- 1548422280
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 64944 (GA)
- Practice address
- 777 Athens Rd Ste 102
Lexington, GA 30648-1905 - Phone
- (866) 439-9630
- NPI assigned
- Jun 25, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 5
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
777 Athens Rd
Lexington, GA 30648-1921
Phone (770) 331-9113
Hospital & facility affiliations
- Tugaloo Home Health Agency, an Amedisys Company
- Agape Hospice Care of Clarke County, LLC
- Agape Hospice Care of Northeast Georgia, LLC
- St Mary'S Hospital
- Piedmont Athens Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
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
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Agape Hospice Care of Clarke County, LLC |
Hospice | Contracted Managing Employee | Feb 7, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101230000521 | GA | Practitioner - Family Practice | 5395933634 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64944 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lexington Primary Care LLC | Current |
Accepting new patients |
Locations
777 Athens Rd
Ste 203
Lexington, GA 30648
Phone (770) 331-9113
777 Athens Rd
Ste 102
Lexington, GA 30648
Phone 8664399630 ext. 05
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ECCJCD
- https://api.platform.athenahealth.com/23387/brand/1/csg/1/fhir/r4
- https://fhir4.healow.com/fhir/r4/ECCJCD/Endpoint/ECCJCD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 64944 | GA | Yes |
Addresses
Primary practice location
777 Athens Rd Ste 102
Lexington, GA 30648-1905
Mailing address
777 Athens Rd Ste 102
Lexington, GA 30648-1905
Phone (866) 439-9630
Other providers in Lexington, GA
- Robin Aaron Bassett
- Leigh Anne Bridges
- Kelsey Leigh Clay
- Jettie Anne Cummings
- Amanda Burns Denson
- Brandon L. Hardy
- Linda M Hueseman
- Michael Kempf
- Lexington Primary Care LLC
- Lexinton Pharmacies Inc.
All providers in Lexington, GA · Family Medicine 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 Oct 18, 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- 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.