Individual provider Active NPI

Joan Hader, MD

  • Urology Physician
  • Atlanta, GA
National Provider Identifier
1679583132
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
036536 Issued in GA
Practice address
5673 Peachtree Dunwoody Rd NE
Ste 910
Atlanta, GA 30342-1731
Phone
(404) 255-3822
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 036536 GA Primary

Addresses

Primary practice location

5673 Peachtree Dunwoody Rd NE
Ste 910
Atlanta, GA 30342-1731

Mailing address

5673 Peachtree Dunwoody Rd NE
Ste 910
Atlanta, GA 30342-1731
Phone (404) 255-3822

Other identifiers 12

IdentifierTypeStateIssuer
AH01OtherGAENVOY SITE ID
036536OtherGASTATE MEDICAL LICENSE
4334942OtherGAAETNA
P3660719OtherGAOXFORD
203543680OtherGAMULTIPLAN
203543680OtherGAAULTCARE
904115OtherGABCBS
611747900OtherGAUS DEPT OF LABOR WC
P00278109OtherGARAILROAD MEDICARE
203543680OtherGAGHI PPO
52550573OtherGABCBS Q CARE
611747900OtherGAWORKERS COMP TX-FED EMPYS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address urologyspecialistsatlanta@756.direct.myezyaccess.com Direct

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
I20051202000006 GA Practitioner - Urology 9436179702 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Medical College of Georgia School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Specialists of Atlanta North, LLCGroup PAC ID 4880912310, 8 clinicians

Practice addresses (Care Compare)

1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606

5673 Peachtree Dunwoody Rd
Suite 910
Atlanta, GA 30342-1776
Phone (404) 255-3822

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.13 of 100Reported as individual
Quality
65.6
Improvement activities
40
Cost
59.63

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Surgical Professional Services LLC CurrentSince Feb 1, 2014 Accepting new patients
Urology Specialists of Atlanta North, LLC Urology CurrentSince May 1, 2015 Accepting new patients

Locations

5673 Peachtree Dunwoody Rd
Sandy Springs, GA 30342
Phone (404) 255-3822

5673 Peachtree Dunwoody Rd
Ste 910
Sandy Springs, GA 30342
Phone (404) 255-3822

5673 Peachtree Dunwoody Rd
Ste 900
Sandy Springs, GA 30342
Phone (404) 593-2851

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1679583132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5673 PEACHTREE DUNWOODY RD NE",
            "address_2": "STE 910",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421731",
            "telephone_number": "404-255-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5673 PEACHTREE DUNWOODY RD NE",
            "address_2": "STE 910",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421731",
            "telephone_number": "404-255-3822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADER",
        "first_name": "JOAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GA",
            "license": "036536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ENVOY SITE ID",
            "identifier": "AH01",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "036536",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4334942",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3660719",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "203543680",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AULTCARE",
            "identifier": "203543680",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "904115",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR WC",
            "identifier": "611747900",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00278109",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PPO",
            "identifier": "203543680",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS Q CARE",
            "identifier": "52550573",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP TX-FED EMPYS",
            "identifier": "611747900",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "urologyspecialistsatlanta@756.direct.myezyaccess.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Edge",
            "address_1": "5673 Peachtree Dunwoody Rd NE",
            "address_2": "Ste 910",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303421731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.