Active NPI
Zyqueze Hines, MPH, PSYM, MD
- Emergency Medicine Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 67949
- Practice address
- 550 Peachtree St NE
Atlanta, GA 30308-2212 - Phone
- (470) 992-3658
- Fax
- (470) 264-7038
- NPI assigned
- Dec 20, 2021
- Last updated
- Jun 24, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 67949 | SC | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 67949 | SC | Primary |
Addresses
Primary practice location
550 Peachtree St NE
Atlanta, GA 30308-2212
Mailing address
PO Box 371795
Decatur, GA 30037-1795
Other practice location 1
400 Palmetto Health Pkwy
Columbia, SC 29212-1760
Phone (470) 992-3658
Other practice location 2
1000 Johnson Fy Rd NE
Atlanta, GA 30342-1611
Phone (470) 992-3658
Other practice location 3
1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone (470) 992-3658
Other practice location 4
350 Hospital Dr
Macon, GA 31217-3838
Phone (470) 992-3658
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67949 | SC | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emory University Hospital Midtown | Pharmacist | Current | Accepting new patients |
Locations
1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222
1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000
Organizations & group practices 1
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.
-
- Emergency Medicine Physician
- Atlanta, GA
- NPI 1932830668
Pharmacist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719187200000",
"number": "1609536549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 371795",
"city": "DECATUR",
"state": "GA",
"postal_code": "300371795",
"fax_number": "470-264-7038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 PEACHTREE ST NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303082212",
"telephone_number": "470-992-3658",
"fax_number": "470-264-7038"
}
],
"practiceLocations": [
{
"address_1": "400 Palmetto Health Pkwy",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292121760",
"country_code": "US",
"telephone_number": "470-992-3658",
"fax_number": "470-264-7038",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 Johnson Fy Rd NE",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303421611",
"country_code": "US",
"telephone_number": "470-992-3658",
"fax_number": "470-264-7038",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1968 Peachtree Rd NW",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303091281",
"country_code": "US",
"telephone_number": "470-992-3658",
"fax_number": "470-264-7038",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "350 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Macon",
"state": "GA",
"postal_code": "312173838",
"country_code": "US",
"telephone_number": "470-992-3658",
"fax_number": "470-264-7038",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HINES",
"first_name": "ZYQUEZE",
"name_prefix": "Dr.",
"credential": "MPH, PSYM, MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-12-20",
"last_updated": "2024-06-24",
"certification_date": "2024-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "67949",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "SC",
"license": "67949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.