Ahmad Walid Naseri, MD
Individual provider Active NPI Internal Medicine Physician · Snellville, GA
NPI 1558064436 · NPPES record last updated Aug 15, 2026
Key facts
- NPI
- 1558064436
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 112302 (GA)
- Practice address
- 1700 Medical Way
Snellville, GA 30078-2195 - Phone
- (770) 979-0200
- NPI assigned
- Mar 22, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| I20230525003513 | GA | Order and Referring Only - Internal Medicine |
2860858354 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 112302 | GA | Yes |
Addresses
Primary practice location
1700 Medical Way
Snellville, GA 30078-2195
Mailing address
1700 Medical Way
Snellville, GA 30078-2195
Phone (770) 979-0200
Other providers in Snellville, GA
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All providers in Snellville, GA · Internal 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 Aug 15, 2026. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.