Tamim Kharrat MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

045382 Issued in GA

Legal business name

TAMIM KHARRAT MD PC

Practice address

219 Riverstone Dr
Canton, GA 30114-5256

Phone

(770) 345-2670

Fax

(770) 345-2671

NPI assigned

Dec 21, 2007

Last updated

Nov 30, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Shonnie Sims

Title

Office Manager

Phone

(770) 345-2670

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 3

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.

• Tamim Mohamad Al-Kharrat, MD

  • Specialist
  • Canton, GA
  • NPI 1962495267
  Medicare reassignment NPD
• Michelle Lourdes Queen, FNP-C

  • Nurse Practitioner
  • Cartersville, GA
  • NPI 1861656365
  NPD
• Najam Sabreen, MD

  • Nephrology Physician
  • Canton, GA
  • NPI 1699701995
  NPD

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354233600000",
    "number": "1629252960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 RIVERSTONE DR",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301145256",
            "telephone_number": "770-345-2670",
            "fax_number": "770-345-2671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 RIVERSTONE DR",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301145256",
            "telephone_number": "770-345-2670",
            "fax_number": "770-345-2671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMIM KHARRAT MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2012-11-30",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "SHONNIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "770-345-2670",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "045382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Swords and Phelps
• Edwin Ira Swords III, D.D.S.
• Brian L Taffin, R.PH.
• Alex Seth Talley, PT
• Jack L. Talley, PH.D.
• Arslan Tariq
• Kameron Tauber, DDS MS
• Martha Huey Taylor, MS, NCC
• Michelle Taylor, MD
• Carolina Madison Teague

• Specialist in Canton, GA
• Providers in Canton, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.