Individual provider Active NPI

Ahmad Umair Janjua, M.D.

  • Psychiatry Physician
  • Atlanta, GA
National Provider Identifier
1588027973
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
79564 Issued in GA
Practice address
1074 Ponce de Leon Ave NE
Atlanta, GA 30306-4216
Phone
(404) 618-1854
NPI assigned
Apr 1, 2016
Last updated
Jan 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 79564 GA
Student in an Organized Health Care Education/Training Program 390200000X NJ
Psychiatry Physician 2084P0800X 79564 GA Primary

Addresses

Primary practice location

1074 Ponce de Leon Ave NE
Atlanta, GA 30306-4216

Mailing address

445 Winn Way
Decatur, GA 30030-1707

Other practice location 1

304 Turner McCall Blvd SW
Rome, GA 30165-5621
Phone (706) 509-5000

Other practice location 2

101 Quartz Dr Ste 103
Villa Rica, GA 30180-3255
Phone (770) 812-3530

Other practice location 3

445 Winn Way
Decatur, GA 30030
Phone (404) 294-3745

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
I20190904001190 GA Practitioner - PsychiatryPractitioner - General Practice 4880942333 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: General Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Floyd Physicians LLCGroup PAC ID 6406852375, 62 clinicians
Upson County Hospital IncGroup PAC ID 8729075536, 11 clinicians

Practice addresses (Care Compare)

304 Turner McCall Blvd SW
Rome, GA 30165-5621
Phone (706) 509-5000

306 Shorter Ave NW
Rome, GA 30165-4268
Phone (706) 509-3500

801 W Gordon St
Thomaston, GA 30286-3426
Phone 70664781111330

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dekalb Community Service Board CurrentSince Sep 3, 2019 Accepting new patients
TMC-Behavioral Health of West Georgia CurrentSince Aug 1, 2020 Accepting new patients
Upson County Hospital Inc CurrentSince Aug 11, 2020 Accepting new patients
Upson County Hospital Inc CurrentSince Aug 11, 2020 Accepting new patients
Floyd Physicians, LLC Psychiatry CurrentSince Jul 1, 2019 Accepting new patients
Floyd Healthcare Management Inc Past Accepting new patients
Floyd Healthcare Management Inc Past Accepting new patients

Locations

985 Joe Frank Harris Pkwy SE
Ste 103
Cartersville, GA 30120
Phone (770) 812-3380

445 Winn Way
Decatur, GA 30030
Phone (404) 294-3745

450 Winn Way
Decatur, GA 30030
Phone (404) 294-3745

304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000

801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371

101 Quartz Dr
Ste 103
Villa Rica, GA 30180
Phone (770) 456-3722

101 Quartz Dr
Ste 103B
Villa Rica, GA 30180
Phone (770) 812-3580

Organizations & group practices 8

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1588027973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 WINN WAY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1074 PONCE DE LEON AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303064216",
            "telephone_number": "404-618-1854"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "304 Turner McCall Blvd SW",
            "address_purpose": "LOCATION",
            "city": "Rome",
            "state": "GA",
            "postal_code": "301655621",
            "country_code": "US",
            "telephone_number": "706-509-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Quartz Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Villa Rica",
            "state": "GA",
            "postal_code": "301803255",
            "country_code": "US",
            "telephone_number": "770-812-3530",
            "fax_number": "770-812-3531",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "445 Winn Way",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "30030",
            "country_code": "US",
            "telephone_number": "404-294-3745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANJUA",
        "first_name": "AHMAD",
        "middle_name": "UMAIR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-01",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "79564",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "79564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.