NPIMap

Individual provider Active NPI

Yousef Nazem Sweidan, MD

  • Nephrology Physician
  • Albany, GA
National Provider Identifier
1649765157
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
91198 Issued in GA
Practice address
1200 N Jefferson St
Albany, GA 31701-2057
Phone
(619) 678-8944
NPI assigned
Jun 27, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Student in an Organized Health Care Education/Training Program 390200000X OH
Nephrology Physician 207RN0300X 91198 GA Primary

Addresses

Primary practice location

1200 N Jefferson St
Albany, GA 31701-2057

Mailing address

11100 Euclid Ave
Cleveland, OH 44106-1716

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220706000451 GA Practitioner - Nephrology 9032599204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Ga. Nephrology Clinic, P.C.Group PAC ID 3779574686, 9 clinicians

Practice addresses (Care Compare)

1200 N Jefferson St
Albany, GA 31701-2057
Phone (229) 888-3970

Hospital & facility affiliations

  • Dci - Clark Home Training Center Dialysis facility, Albany, GA, CCN 112801
  • Dci East Albany Dialysis facility, Albany, GA, CCN 112587
  • Dci Albany Dialysis facility, Albany, GA, CCN 112509
  • Dci Sylvester Dialysis facility, Sylvester, GA, CCN 112630
  • Dci Albany West Town Dialysis facility, Albany, GA, CCN 112704
  • Phoebe Putney Memorial Hospital Hospital, Albany, GA, CCN 110007
  • Phoebe Worth Medical Center Hospital, Sylvester, GA, CCN 111328
  • Miller County Hospital Hospital, Colquitt, GA, CCN 111305

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
85.84
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
91198GAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System Current Accepting new patients
Southwest Ga Nephrology Clinic PC CurrentSince Jul 1, 2022 Accepting new patients
Southwest Ga. Nephrology Clinic, P.C. Nephrology CurrentSince Jul 1, 2022 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

1200 N Jefferson St
Albany, GA 31701
Phone (229) 888-3970

Interoperability endpoints

  • Direct secure messaging: ysweidan143451@direct.metrohealth.org

Organizations & group practices 4

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1649765157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N JEFFERSON ST",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317012057",
            "telephone_number": "619-678-8944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEIDAN",
        "first_name": "YOUSEF",
        "middle_name": "NAZEM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-27",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "91198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

Verify at the official NPI Registry.