Payal M Fadia, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

061773 Issued in GA

Practice address

1942 Clairmont Rd
Decatur, GA 30033-3406

Phone

(404) 367-1347

Fax

(404) 350-7694

NPI assigned

May 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Physical Medicine and Rehabilitation

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Shepherd Center, Inc. 51 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Shepherd Center Long-term care hospital, Atlanta, GA, CCN 112003

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Shepherd Center Inc

  • Long Term Care Hospital
  • Atlanta, GA
  • NPI 1043311715

  GA

  Medicare reassignment Care Compare group NPD
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Medical Center Rehabilitation Physicians

  • Physical Medicine & Rehabilitation Physician
  • Houston, TX
  • NPI 1114995206

  Physical Medicine & Rehabilitation

  NPD (past)
• Rehabilitation Consultants, PC

  • Physical Medicine & Rehabilitation Physician
  • Norwalk, CT
  • NPI 1306898192

  Physical Medicine & Rehabilitation

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Shepherd Center Inc

  • Long Term Care Hospital
  • Atlanta, GA
  • NPI 1043311715

  Long-term care hospital

  Care Compare affiliation

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366243200000",
    "number": "1639123136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 PEACHTREE RD NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091426",
            "telephone_number": "404-367-1347",
            "fax_number": "404-350-7694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1942 CLAIRMONT RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300333406",
            "telephone_number": "404-367-1347",
            "fax_number": "404-350-7694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FADIA",
        "first_name": "PAYAL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2013-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "061773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "732851504A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie L. Ezust, PH.D.
• Jaquelynn Faass, LMSW
• Julia Ann Fabb-Jordan, LCSW
• Faces, LLC
• Titilayo Erika Fadahunsi Lizardo, LCSW
• Julia Fahrney, AUD
• Fahshak Enterprises, LLC
• Rebecca Podstata Fain, ADVANCED PRACTICE NP
• Faith First Fitness Inc
• Mohammad Abed Faizi

• All providers in Decatur, GA
• Physical Medicine & Rehabilitation Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.