Individual provider Active NPI

Syeda Hamadani, MD

  • Allergy & Immunology Physician
  • Lawrenceville, GA
National Provider Identifier
1710246848
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
84919 Issued in GA
Practice address
301 Gwinnett Dr
Lawrenceville, GA 30046-5669
Phone
(770) 910-9196
Fax
(770) 910-9197
NPI assigned
May 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 84919 GA
Allergy & Immunology Physician 207K00000X 84919 GA Primary

Addresses

Primary practice location

301 Gwinnett Dr
Lawrenceville, GA 30046-5669

Mailing address

301 Gwinnett Dr SW, Lawrenceville, Ga 30046
Lawrenceville, GA 30046
Phone (770) 910-9196

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200415001109 GA Practitioner - Allergy/Immunology 2769798057 Reassigns benefits to 1 organization
I20220526001445 CA Practitioner - Allergy/Immunology 2769798057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

301 Gwinnett Dr
Lawrenceville, GA 30046-5629
Phone (678) 224-1695

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group Current Accepting new patients
Velo Medical Group LLC Internal Medicine CurrentSince Apr 1, 2025 Accepting new patients
Southern California Permanente Medical Group CurrentSince Mar 29, 2022 Accepting new patients
Southern California Permanente Medical Group CurrentSince Mar 29, 2022 Accepting new patients

Locations

393 E Walnut St
Pasadena, CA 91188
Phone (626) 405-7914

888 S Hill Rd
Ventura, CA 93003
Phone (805) 477-6400

5601 De Soto Ave
Woodland Hls, CA 91367
Phone (818) 719-2000

301 Gwinnett Dr
Lawrenceville, GA 30046
Phone (678) 224-1695

Organizations & group practices 4

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": "1336521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1710246848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 GWINNETT DR SW, LAWRENCEVILLE, GA 30046",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "30046",
            "telephone_number": "770-910-9196",
            "fax_number": "770-910-9197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 GWINNETT DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300465669",
            "telephone_number": "770-910-9196",
            "fax_number": "770-910-9197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMADANI",
        "first_name": "SYEDA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-09",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "84919",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "GA",
            "license": "84919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.