NPIMap

Individual provider Active NPI

Abid Bashir, M.D.

  • Nephrology Physician
  • Athens, GA
National Provider Identifier
1700822608
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
050865 Issued in GA
Practice address
5105 Jefferson Rd
Suite B
Athens, GA 30607-1701
Phone
(706) 227-4075
Fax
(706) 227-4086
NPI assigned
Jun 21, 2006
Last updated
Dec 5, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 050865 GA Primary

Addresses

Primary practice location

5105 Jefferson Rd
Suite B
Athens, GA 30607-1701

Mailing address

5105 Jefferson Rd # B
Athens, GA 30607-1701
Phone (706) 227-4075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111017000344 GA Practitioner - Nephrology 2668378118 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
New York Medical College, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Georgia Neprology Consultants LLCGroup PAC ID 3476540204, 2 clinicians

Practice addresses (Care Compare)

1040 Park Dr
Greensboro, GA 30642-3466
Phone (706) 227-4075

1065 E Franklin St
Hartwell, GA 30643-2205
Phone (706) 376-3285

1199 Prince Ave
Athens, GA 30606-2797
Phone (706) 475-7000

1220 Siloam Rd
Greensboro, GA 30642-2810
Phone (706) 453-7222

1230 Baxter St
Athens, GA 30606-3712
Phone (706) 389-3000

16 E Williams St
Winder, GA 30680-2279
Phone (706) 227-4075

225 Plaza Dr
Monroe, GA 30655-3184
Phone (701) 207-6942

299 Plaza Dr
Monroe, GA 30655-3184
Phone (770) 266-7399

3431 Hwy 81
Loganville, GA 30052-9138
Phone (706) 227-4075

5105 Jefferson Rd
Suite B
Athens, GA 30607-1701
Phone (706) 227-4075

5105 Jefferson Rd a
Athens, GA 30607-1701
Phone (706) 549-6885

5105 Jefferson Rd B
Athens, GA 30607-1701

611 Cook St
Royston, GA 30662-3933
Phone (706) 245-0817

700 Breedlove Dr C
Monroe, GA 30655-2064
Phone (706) 227-4075

894 Elbert St
Elbrton, GA 30635-2628
Phone (706) 283-9833

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
050865GAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Georgia Neprology Consultants LLC Nephrology CurrentSince Sep 1, 2003 Accepting new patients
Affiliates of Speech Therapy, P.C. PastSince Dec 16, 2009 Accepting new patients

Locations

5105 Jefferson Rd
Athens, GA 30607

5105 Jefferson Rd
#B
Athens, GA 30607
Phone (706) 227-4075

700 Oglethorpe Ave
Ste B4
Athens, GA 30606
Phone (706) 227-4075

1110 Commerce Dr
Greensboro, GA 30642
Phone (706) 999-0243

3431 Highway 81
Loganville, GA 30052
Phone (678) 639-1633

Interoperability endpoints

  • Direct secure messaging: abid.bashir@direct.davitaphysiciansolutions.com

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 9

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1700822608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5105 JEFFERSON RD # B",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306071701",
            "telephone_number": "706-227-4075",
            "fax_number": "706-227-4086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5105 JEFFERSON RD",
            "address_2": "SUITE B",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306071701",
            "telephone_number": "706-227-4075",
            "fax_number": "706-227-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASHIR",
        "first_name": "ABID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "050865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.