Individual provider Active NPI

Shukri George Makhlouf, M.D.

  • Internal Medicine Physician
  • Suwanee, GA
National Provider Identifier
1679503577
Registry record updated Sep 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
057537 Issued in GA
Practice address
1300 Peachtree Industrial Blvd
Suite 4203
Suwanee, GA 30024-4539
Phone
(770) 831-3018
Fax
(770) 831-3669
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 057537 GA Primary

Addresses

Primary practice location

1300 Peachtree Industrial Blvd
Suite 4203
Suwanee, GA 30024-4539

Mailing address

1300 Peachtree Industrial Blvd
Suite 4203
Suwanee, GA 30024-4539
Phone (770) 831-3018

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070226000064 GA Practitioner - Internal Medicine 1153423918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sugarloaf Medical P.C.Group PAC ID 6305923871, 5 clinicians
Esop Rehabilitation LLCGroup PAC ID 9739305749, shared by 9 NPIs, 224 clinicians

Practice addresses (Care Compare)

1300 Peachtree Industrial Blvd
Suite 4203
Suwanee, GA 30024-4540
Phone (770) 831-3018

1699 Hwy 124 N
Suite 100
Snellville, GA 30078-7921
Phone (678) 218-6702

Hospital & facility affiliations

  • Staff Builders Home Health, an Amedisys Company Home health agency, Duluth, GA, CCN 117083
  • Northside Hospital Gwinnett Hospital, Lawrenceville, GA, CCN 110087
  • Emory Johns Creek Hospital Hospital, Johns Creek, GA, CCN 110230
  • Northside Hospital Forsyth Hospital, Cumming, GA, CCN 110005
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161
  • Northside Hospital Duluth Hospital, Duluth, GA, CCN 110252

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sugarloaf Medical P.C. Internal Medicine CurrentSince Mar 1, 2008 Accepting new patients
Heritage Medical Care LLC Past Accepting new patients

Locations

1300 Peachtree Industrial Blvd
Ste 4203
Suwanee, GA 30024
Phone (770) 831-3018

1300 Peachtree Industrial Blvd
Ste 4201
Suwanee, GA 30024
Phone (770) 831-3018

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JAFEAA
  • Direct secure messaging: shukri.makhlouf@smimpc.eclinicaldirectplus.com

Organizations & group practices 2

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 6

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443571200000",
    "number": "1679503577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 PEACHTREE INDUSTRIAL BLVD",
            "address_2": "SUITE 4203",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300244539",
            "telephone_number": "770-831-3018",
            "fax_number": "770-831-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 PEACHTREE INDUSTRIAL BLVD",
            "address_2": "SUITE 4203",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300244539",
            "telephone_number": "770-831-3018",
            "fax_number": "770-831-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKHLOUF",
        "first_name": "SHUKRI",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2015-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "057537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

Verify at the official NPI Registry.