NPIMap

Organization Active NPI

Hakim LLC

  • Clinic/Center
  • Suwanee, GA
National Provider Identifier
1619522026
Registry record updated Aug 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
HAKIM LLC
Practice address
4245 Johns Creek Pkwy Ste E
Suwanee, GA 30024-9122
Phone
(678) 456-8000
Fax
(470) 239-4151
NPI assigned
Aug 3, 2019
Last updated
Aug 3, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2019

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

Authorized official

Name
Dr. Dawit WeldemichaelNPI 1386836583
Title
Director
Phone
(404) 840-1217

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

4245 Johns Creek Pkwy Ste E
Suwanee, GA 30024-9122

Mailing address

4245 Johns Creek Pkwy Ste E
Suwanee, GA 30024-9122
Phone (678) 456-8000

National Provider Directory

National Provider Directory

Locations

4245 Johns Creek Pkwy
Ste 4
Suwanee, GA 30024
Phone (678) 456-8000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1564790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564790400000",
    "number": "1619522026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4245 JOHNS CREEK PKWY STE E",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300249122",
            "telephone_number": "678-456-8000",
            "fax_number": "470-239-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4245 JOHNS CREEK PKWY STE E",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300249122",
            "telephone_number": "678-456-8000",
            "fax_number": "470-239-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAKIM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-03",
        "last_updated": "2019-08-03",
        "status": "A",
        "authorized_official_last_name": "WELDEMICHAEL",
        "authorized_official_first_name": "DAWIT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "404-840-1217",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.