Individual provider Active NPI

Emad Haddad, DPT, OCS

  • Physical Therapist
  • Buford, GA
National Provider Identifier
1629760186
Registry record updated Jul 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
4195 S Lee St
Buford, GA 30518-8019
Phone
(770) 932-3033
NPI assigned
May 23, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

4195 S Lee St
Buford, GA 30518-8019

Mailing address

4195 S Lee St
Buford, GA 30518-8019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231128000055 GA Practitioner - Physical Therapist in Private Practice 9032567326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primacare Rehabilitation P.C.Group PAC ID 2961591474, 11 clinicians

Practice addresses (Care Compare)

2576 Lawrenceville Suwanee Rd
Suite 101
Suwanee, GA 30024-7291
Phone (770) 962-4043

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Primacare Rehabilitation P.C. Physical Therapist CurrentSince Oct 5, 2023 Accepting new patients

Locations

4195 S Lee St
Ste B
Buford, GA 30518
Phone (770) 932-3033

3840 Peachtree Industrial Blvd
Ste 120
Duluth, GA 30096
Phone (678) 584-1622

455 Grayson Hwy
Ste 110
Lawrenceville, GA 30046
Phone (470) 282-1489

1300 Indian Trail Rd
Ste 109
Norcross, GA 30093
Phone (470) 359-3945

3905 Johns Creek Ct
Ste 250
Suwanee, GA 30024
Phone (770) 888-5221

2576 Lawrenceville Suwanee Rd
Ste 101
Suwanee, GA 30024
Phone (770) 962-4043

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751673600000",
    "number": "1629760186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4195 S LEE ST",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305188019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4195 S LEE ST",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305188019",
            "telephone_number": "770-932-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDAD",
        "first_name": "EMAD",
        "name_prefix": "Dr.",
        "credential": "DPT, OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-23",
        "last_updated": "2025-07-05",
        "certification_date": "2025-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buford, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.