Active NPI
Ayman Mohsen Fareed, M.D.
- Addiction Psychiatry Physician
- Dahlonega, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Psychiatry Physician
- License
- 58740
- Practice address
- 330 Mount Sinai Dr
Dahlonega, GA 30533-2367 - Phone
- (706) 482-2040
- NPI assigned
- Aug 9, 2006
- Last updated
- Dec 16, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Psychiatry Physician | 2084P0802X | 58740 | GA | Primary |
Addresses
Primary practice location
330 Mount Sinai Dr
Dahlonega, GA 30533-2367
Mailing address
330 Mount Sinai Dr
Dahlonega, GA 30533-2367
Phone (706) 482-2040
Other practice location 1
14659 Timber Pt
Milton, GA 30004-4555
Phone (770) 905-6972
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
101 Yorktown Dr
Fayetteville, GA 30214-1578
3235 S Cherokee Lane
BLDG 1200
Woodstock, GA 30188-7026
Phone (678) 384-4911
3400 Old Milton Pkwy
Alpharetta, GA 30005-3707
Phone (678) 384-4911
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group of Georgia LLC | Current | Accepting new patients | |
| Privia Medical Group of Georgia LLC | Current | Accepting new patients | |
| Mt. Sinai Wellness Center, LLC | Current | Accepting new patients |
Locations
3715 Northside Pkwy NW
Bldg 100
Atlanta, GA 30327
Phone (770) 680-1473
330 Mount Sinai Dr
Dahlonega, GA 30533
Phone (706) 482-2040
101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285
Interoperability endpoints
- ayman.fareed.2@8042.direct.athenahealth.com
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Fayetteville, GA
- NPI 1013313857
-
- Substance Abuse Rehabilitation Facility
- Dahlonega, GA
- NPI 1841709821
-
- Internal Medicine Physician
- Savannah, GA
- NPI 1356907273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513382400000",
"number": "1710997069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 MOUNT SINAI DR",
"city": "DAHLONEGA",
"state": "GA",
"postal_code": "305332367",
"telephone_number": "706-482-2040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 MOUNT SINAI DR",
"city": "DAHLONEGA",
"state": "GA",
"postal_code": "305332367",
"telephone_number": "706-482-2040"
}
],
"practiceLocations": [
{
"address_1": "14659 Timber Pt",
"address_purpose": "LOCATION",
"city": "Milton",
"state": "GA",
"postal_code": "300044555",
"country_code": "US",
"telephone_number": "770-905-6972",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FAREED",
"first_name": "AYMAN",
"middle_name": "MOHSEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2017-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0802X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "GA",
"license": "58740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dahlonega, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2017; 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.