Individual provider Active NPI

Bahair Hussein Ghazi, M.D.

  • Plastic Surgery Physician
  • Atlanta, GA
National Provider Identifier
1598949679
Registry record updated Dec 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
60174 Issued in GA
Practice address
5673 Peachtree Dunwoody Rd Ste 870
Atlanta, GA 30342-5029
Phone
(404) 255-2975
Fax
(404) 255-2276
NPI assigned
Dec 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 060174 GA
Plastic Surgery Physician 208200000X 60174 GA Primary

Addresses

Primary practice location

5673 Peachtree Dunwoody Rd Ste 870
Atlanta, GA 30342-5029

Mailing address

5361 Reynolds St
Savannah, GA 31405-6014
Phone (404) 931-4915

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
I20110331000805 GA Practitioner - General Surgery 7214110071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlanta Plastic and Reconstructive Specialists, LLCGroup PAC ID 3274760400, 5 clinicians

Practice addresses (Care Compare)

12425 Morris Rd
Suite a
Alpharetta, GA 30005-4137
Phone (404) 255-2975

Hospital & facility affiliations

  • Northside Hospital Hospital, Atlanta, GA, CCN 110161

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy19
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60174GAMDPlastic Surgery Physician
060174GAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Moderna Surgical Center, LLC Current Accepting new patients
Atlanta Plastic & Reconstructive Specialists, LLC Plastic Surgery CurrentSince Oct 1, 2013 Accepting new patients

Locations

1800 Howell Mill Rd NW
Ste 140
Atlanta, GA 30318
Phone (404) 343-0897

5673 Peachtree Dunwoody Rd
Ste 870
Sandy Springs, GA 30342
Phone (404) 255-2975

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1198540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1598949679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5361 REYNOLDS ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056014",
            "telephone_number": "404-931-4915",
            "fax_number": "912-355-8403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5673 PEACHTREE DUNWOODY RD STE 870",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303425029",
            "telephone_number": "404-255-2975",
            "fax_number": "404-255-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAZI",
        "first_name": "BAHAIR",
        "middle_name": "HUSSEIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-25",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "060174",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "GA",
            "license": "60174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.