Individual provider Active NPI

Aly Hashim

  • Family Medicine Physician
  • Woodstock, GA
National Provider Identifier
1700366887
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
89233 Issued in GA
Practice address
3380 Trickum Road
Building 200 Suite 102
Woodstock, GA 30188
Phone
(678) 250-8583
Fax
(470) 780-0404
NPI assigned
Aug 17, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 89233 GA Primary

Addresses

Primary practice location

3380 Trickum Road
Building 200 Suite 102
Woodstock, GA 30188

Mailing address

5151 Huntshire LN SW
Lilburn, GA 30047-5103

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
I20211203000387 GA Practitioner - Family Practice 0648660712 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlanta Medical Clinic of Midtown LLCGroup PAC ID 8820444706, 6 clinicians

Practice addresses (Care Compare)

197 14TH St NW
Suite 300B
Atlanta, GA 30318-7815
Phone (404) 872-8837

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
89233GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Medical Group, P.C. Family Medicine CurrentSince Aug 13, 2021 Accepting new patients
Only One Hub Family Medicine CurrentSince Feb 4, 2025 Accepting new patients
Atlanta Medical Clinic of Midtown LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

3400 Old Milton Pkwy
Ste 270
Alpharetta, GA 30005
Phone 7704421911262

197 14th St NW
Ste 300B
Atlanta, GA 30318
Phone (404) 872-8837

1255 Friendship Rd
Ste 130
Braselton, GA 30517
Phone (678) 341-6350

300 Colonial Center Pkwy
Ste 100N
Roswell, GA 30076
Phone (704) 684-7609

1150 Hammond Dr
Ste 310
Sandy Springs, GA 30328
Phone (678) 802-5780

100 W High St
Ebensburg, PA 15931
Phone (724) 317-1070

Interoperability endpoints

  • Direct secure messaging: aly.hashim@412159279693828.direct.elationemr.com
  • Direct secure messaging: aly.hashim@538504950906884.direct.elationemr.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/DIJIBA

Organizations & group practices 3

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": "1534464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1700366887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 HUNTSHIRE LN SW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300475103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3380 TRICKUM ROAD",
            "address_2": "BUILDING 200 SUITE 102",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "30188",
            "telephone_number": "678-250-8583",
            "fax_number": "470-780-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASHIM",
        "first_name": "ALY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-17",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "89233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

Verify at the official NPI Registry.