Individual provider Active NPI

Niraj Rama Nathan, M.D.

  • Glaucoma Specialist (Ophthalmology) Physician
  • Buford, GA
National Provider Identifier
1588920060
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Glaucoma Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0009X
License
94296 Issued in GA
Practice address
1995 Mall of Georgia Blvd Ste a
Buford, GA 30519-6622
Phone
(678) 381-2020
NPI assigned
Apr 9, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 94296 GA
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X 94296 GA Primary

Addresses

Primary practice location

1995 Mall of Georgia Blvd Ste a
Buford, GA 30519-6622

Mailing address

1300 Peachtree Industrial Blvd Ste 1201
Suwanee, GA 30024-4550

Other practice location 1

11315 Johns Creek Pkwy Ste 300
Duluth, GA 30097-2644
Phone (678) 381-2020

Other practice location 2

1250 Scenic Hwy Ste 1700
Lawrenceville, GA 30045-7823
Phone (678) 381-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160429000654 TX Practitioner - Ophthalmology 6800198789 Reassigns benefits to 4 organizations
I20230123002919 GA Practitioner - Ophthalmology 6800198789

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Jul 7, 2017 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
University of Texas Southwestern Medical Center at Dallas Ophthalmology CurrentSince Jul 7, 2017 Accepting new patients
Texas Children'S Physician Group CurrentSince Apr 12, 2016 Accepting new patients
Baylor College of Medicine Ophthalmology CurrentSince May 1, 2016 Accepting new patients
Baylor College of Medicine CurrentSince May 1, 2016 Accepting new patients
Baylor College of Medicine CurrentSince May 1, 2016 Accepting new patients
Baylor College of Medicine CurrentSince May 1, 2016 Accepting new patients
Alpharetta Eye Surgery Center LLC Past Accepting new patients
Buford Eye Surgery Center PastSince Jan 10, 2023 Accepting new patients

Locations

5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396

3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591

800 8th Ave
Ste 306
Fort Worth, TX 76104
Phone (817) 336-1300

6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

420 E 6th St
Ste 202
Odessa, TX 79761
Phone (214) 648-9618

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Interoperability endpoints

  • Direct secure messaging: nnathan60846@direct.jpshealth.org

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1588920060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 PEACHTREE INDUSTRIAL BLVD STE 1201",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300244550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 MALL OF GEORGIA BLVD STE A",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305196622",
            "telephone_number": "678-381-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11315 Johns Creek Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "GA",
            "postal_code": "300972644",
            "country_code": "US",
            "telephone_number": "678-381-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 Scenic Hwy Ste 1700",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300457823",
            "country_code": "US",
            "telephone_number": "678-381-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NATHAN",
        "first_name": "NIRAJ",
        "middle_name": "RAMA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-09",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "94296",
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "GA",
            "license": "94296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buford, GA

Sources for this page

Verify at the official NPI Registry.