Individual provider Active NPI

Nader Ghazal, MD

  • Orthopaedic Surgery Physician
  • Suwanee, GA
National Provider Identifier
1699062133
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
71943 Issued in GA
Practice address
1500 Peachtree Industrial Blvd Ste 220
Suwanee, GA 30024-8489
Phone
(470) 266-1522
Fax
(470) 266-1455
NPI assigned
Jul 5, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 71943 GA Primary

Addresses

Primary practice location

1500 Peachtree Industrial Blvd Ste 220
Suwanee, GA 30024-8489

Mailing address

1500 Peachtree Industrial Blvd Ste 220
Suwanee, GA 30024-8489
Phone (470) 266-1522

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
I20151020000884 GA Practitioner - Orthopedic SurgeryPractitioner - Family Practice 0648589721 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Family Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1500 Peachtree Industrial Blvd
Suite 220
Suwanee, GA 30024-8489
Phone (470) 266-1522

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71943GAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skilled Facility Health Care Solutions Inc CurrentSince Dec 1, 2018 Accepting new patients
Nader C. Ghazal MD LLC Orthopaedic Surgery CurrentSince Jan 1, 2022 Accepting new patients

Locations

3746 Foothill Blvd
La Crescenta, CA 91214
Phone (323) 574-0387

1240 Jesse Jewell Pkwy SE
Ste 300
Gainesville, GA 30501
Phone (770) 532-7202

2000 Riveredge Pkwy
Ste 885
Sandy Springs, GA 30328
Phone (678) 382-3187

1500 Peachtree Industrial Blvd
Ste 220
Suwanee, GA 30024
Phone (470) 266-1522

Interoperability endpoints

  • Direct secure messaging: nader.ghazal.2@26197.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/26197/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1699062133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 PEACHTREE INDUSTRIAL BLVD STE 220",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300248489",
            "telephone_number": "470-266-1522",
            "fax_number": "470-266-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 PEACHTREE INDUSTRIAL BLVD STE 220",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300248489",
            "telephone_number": "470-266-1522",
            "fax_number": "470-266-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAZAL",
        "first_name": "NADER",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-05",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "71943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

Verify at the official NPI Registry.