Individual provider Active NPI

Asad Mehdi, M.D.

  • Psychiatry Physician
  • Atlanta, GA
National Provider Identifier
1578779898
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
064414 Issued in GA
Practice address
2150 Peachford Rd Ste T
Atlanta, GA 30338-6539
Phone
(404) 947-5316
Fax
(404) 796-7645
NPI assigned
May 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301094470 MI
Psychiatry Physician 2084P0800X MT185687 PA
Psychiatry Physician 2084P0800X 064414 GA Primary

Addresses

Primary practice location

2150 Peachford Rd Ste T
Atlanta, GA 30338-6539

Mailing address

2150 Peachford Rd Ste T
Atlanta, GA 30338-6539
Phone (404) 947-5316

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100921001298 GA Practitioner - PsychiatryPractitioner - NeurologyPractitioner - Sleep Medicine 0941343370 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neurology
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Urgent PsychGroup PAC ID 7214465129, 2 clinicians

Practice addresses (Care Compare)

2150 Peachford Rd T
Atlanta, GA 30338-6539
Phone (404) 947-5316

3300 Northeast Expy NE
Atlanta, GA 30341-3932
Phone (404) 900-5919

Merit-based Incentive Payment System (MIPS)

Final score
22.62 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
75.41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
064414GAMDPsychiatry Physician
MT185687PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Psych CurrentSince Oct 7, 2024 Accepting new patients
Shallowford Wellness Center LLC Psychiatry CurrentSince Jan 1, 2024 Accepting new patients
Ikaa Psychiatry CurrentSince Apr 1, 2014 Accepting new patients
Uhs of Peachford, L.P. Past Accepting new patients

Locations

2150 Peachford Rd
Ste T
Atlanta, GA 30338
Phone (404) 567-6944

2151 Peachford Rd
Dunwoody, GA 30338
Phone (770) 313-2034

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IFDHDD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1578779898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 PEACHFORD RD STE T",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386539",
            "telephone_number": "404-947-5316",
            "fax_number": "404-796-7645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 PEACHFORD RD STE T",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386539",
            "telephone_number": "404-947-5316",
            "fax_number": "404-796-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHDI",
        "first_name": "ASAD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301094470",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MT185687",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "064414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.