Najam Azmat, MD
Individual provider Active NPI Vascular Surgery Physician · Waycross, GA
NPI 1679575443 · NPPES record last updated Feb 18, 2010
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective May 20, 2012.
Key facts
- NPI
- 1679575443
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Vascular Surgery Physician 2086S0129X
- License
- 056512 (GA)
- Practice address
- 707 Confederate Way
Waycross, GA 31503-9490 - Phone
- (912) 338-9796
- NPI assigned
- Aug 11, 2005
- Reactivated
- Mar 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056512 | GA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Najam Azmat, M. D., P. C. | Vascular Surgery | Past |
Accepting new patients |
| The Baxley and Appling County Hospital Authority | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 056512 | GA | Yes |
| Surgery Physician | 208600000X | 056512 | GA |
Addresses
Primary practice location
707 Confederate Way
Waycross, GA 31503-9490
Mailing address
707 Confederate Way
Waycross, GA 31503-9490
Phone (912) 338-9796
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 749349931A | Medicaid | GA |
Other providers in Waycross, GA
- Ndifreke Asuquo
- Aaron Atkinson
- Atlantic Homeaid Inc
- Lydia Aultman
- Nosheen Azam
- Babies Can'T Wait
- Bacon County Health Services, Inc.
- Michael P Baker
- Courtney Baldwin
- Hannah Harper Banach
All providers in Waycross, GA · Vascular Surgery Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- OIG LEIE (HHS Office of Inspector General).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.