Active NPI
Bashar Al-Turk
- Cardiovascular Disease Physician
- Fayetteville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 91311
- Practice address
- 1267 Highway 54 W Ste 5200
Fayetteville, GA 30214-2113 - Phone
- (770) 719-5601
- NPI assigned
- Mar 30, 2015
- Last updated
- Jul 13, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Internal Medicine Physician | 207R00000X | OS15230 | FL | |
| Cardiovascular Disease Physician | 207RC0000X | 91311 | GA | Primary |
Addresses
Primary practice location
1267 Highway 54 W Ste 5200
Fayetteville, GA 30214-2113
Mailing address
PO Box 44008
Jacksonville, FL 32231-4008
Phone (904) 383-1003
Other practice location 1
653 W 8th St # L18
Jacksonville, FL 32209
Phone (904) 383-1003
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1267 Hwy 54 W
Suite 2200
Fayetteville, GA 30214
Phone (770) 716-0051
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 91311 | GA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Professional Services, LLC | Cardiovascular Disease | Current | Accepting new patients |
| University of Florida Jacksonville Physicians, Inc. | Internal Medicine | Current | Accepting new patients |
| Piedmont Cardiology of Atlanta, LLC | Cardiovascular Disease | Current | Accepting new patients |
| University of Florida Jacksonville Physicians Inc | Internal Medicine | Current | Accepting new patients |
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| Accountable Teaching Services LLC | Current | Accepting new patients |
Locations
653 W 8th St
Jacksonville, FL 32209
Phone (904) 244-3902
653 W 8th St
#L18
Jacksonville, FL 32209
Phone (904) 244-3091
655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680
2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015
10101 Forest Hill Blvd
West Palm Beach, FL 33414
Phone (561) 766-1301
1155 S Congress Ave
Ste C
West Palm Beach, FL 33406
Phone 5617661300501
2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421
1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000
1267 Highway 54 W
Ste 2200
Fayetteville, GA 30214
Phone (470) 271-3415
1855 Hudson Bridge Rd
Stockbridge, GA 30281
Phone (678) 565-0353
Organizations & group practices 6
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.
-
dba Piedmont Heart Institute
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1275729691
-
- Nephrology Physician
- Stockbridge, GA
- NPI 1104088905
Cardiovascular Disease
-
- Health Educator
- Wellington, FL
- NPI 1861929309
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1144276452
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1659531929
-
dba UF Health Imaging Center-Baymeadows
- Physiological Laboratory
- Jacksonville, FL
- NPI 1831800952
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Piedmont Fayette Hospital
- General Acute Care Hospital
- Fayetteville, GA
- NPI 1528027240
-
- General Acute Care Hospital
- Newnan, GA
- NPI 1134133002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657670400000",
"number": "1699160408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 44008",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322314008",
"telephone_number": "904-383-1003",
"fax_number": "904-244-7388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1267 HIGHWAY 54 W STE 5200",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302142113",
"telephone_number": "770-719-5601"
}
],
"practiceLocations": [
{
"address_1": "653 W 8th St # L18",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "32209",
"country_code": "US",
"telephone_number": "904-383-1003",
"fax_number": "904-244-7388",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AL-TURK",
"first_name": "BASHAR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-30",
"last_updated": "2022-07-13",
"certification_date": "2022-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "OS15230",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "GA",
"license": "91311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.