Individual provider Active NPI

Ayman Mohsen Fareed, M.D.

  • Addiction Psychiatry Physician
  • Dahlonega, GA
National Provider Identifier
1710997069
Registry record updated Dec 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
License
58740 Issued in GA
Practice address
330 Mount Sinai Dr
Dahlonega, GA 30533-2367
Phone
(706) 482-2040
NPI assigned
Aug 9, 2006
Last updated
Dec 16, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240822002736 GA Practitioner - Psychiatry 0648719617 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
Privia Medical Group of Georgia LLC CurrentSince May 30, 2024 Accepting new patients
Privia Medical Group of Georgia LLC CurrentSince May 30, 2024 Accepting new patients
Mt. Sinai Wellness Center, LLC CurrentSince Jul 24, 2022 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

  • Direct secure messaging: ayman.fareed.2@8042.direct.athenahealth.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.