Organization Active NPI

Badar H Syed MD, PC

  • Specialist
  • Snellville, GA
National Provider Identifier
1679761241
Registry record updated Jul 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
049385 Issued in GA
Legal business name
BADAR H SYED MD, PC
Practice address
2121 Fountain Dr
Suite G
Snellville, GA 30078-2016
Phone
(770) 972-3002
Fax
(770) 985-6392
NPI assigned
Oct 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2010

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

Authorized official

Name
Dr. Badar H Syed, MDNPI 1629038179
Title
Owner
Phone
(770) 972-3002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 049385 GA Primary

Addresses

Primary practice location

2121 Fountain Dr
Suite G
Snellville, GA 30078-2016

Mailing address

2121 Fountain Dr
Suite G
Snellville, GA 30078-2016
Phone (770) 972-3002

Other names 1

  • GWINNETT NEUROLOGY & SLEEP DISORDERS CLINIC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051216000178 GA Part B Supplier - Clinic/Group Practice 7517988678 Receives reassigned benefits from 1 practitioner
Practice locations: Duluth, GA; Snellville, GA

National Provider Directory

National Provider Directory

Locations

2331 Henry Clower Blvd
Snellville, GA 30078

2121 Fountain Dr
Ste G
Snellville, GA 30078
Phone (678) 691-6378

2121 Fountain Dr
Ste M
Snellville, GA 30078
Phone (770) 972-3002

1700 Tree Ln
Ste 400
Snellville, GA 30078
Phone (770) 972-3002

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280361600000",
    "number": "1679761241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 FOUNTAIN DR",
            "address_2": "SUITE G",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782016",
            "telephone_number": "770-972-3002",
            "fax_number": "770-985-6392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 FOUNTAIN DR",
            "address_2": "SUITE G",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782016",
            "telephone_number": "770-972-3002",
            "fax_number": "770-985-6392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BADAR H SYED MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2010-07-29",
        "status": "A",
        "authorized_official_last_name": "SYED",
        "authorized_official_first_name": "BADAR",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-972-3002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "049385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GWINNETT NEUROLOGY & SLEEP DISORDERS CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.