Individual provider Active NPI

Syed Haider Shirazi, MD

  • Cardiovascular Disease Physician
  • Conyers, GA
National Provider Identifier
1720087018
Registry record updated Dec 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
018740 Issued in GA
Practice address
1301 Sigman Road, NE
Suite 200
Conyers, GA 30012-3819
Phone
(770) 483-9330
Fax
(770) 483-3731
NPI assigned
Jul 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 018740 GA Primary

Addresses

Primary practice location

1301 Sigman Road, NE
Suite 200
Conyers, GA 30012-3819

Mailing address

1301 Sigman Road, NE
Suite 200
Conyers, GA 30012-3819
Phone (770) 483-9330

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
I20050209000892 GA Practitioner - Cardiovascular Disease (Cardiology) 1557312261 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
018740GAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Clinic of North Georgia PC Cardiovascular Disease CurrentSince Nov 5, 2018 Accepting new patients
Morehouse Healthcare, Inc. Cardiovascular Disease CurrentSince Jun 1, 2018 Accepting new patients
Gwinnett Medical Group, Inc Past Accepting new patients
Hospital Authority of Valdosta and Lowndes County, Georgia Past Accepting new patients
Wellstar Medical Group, LLC PastSince Jun 1, 2018 Accepting new patients
Saint Josephs Hospital of Atlanta Inc Past Accepting new patients

Locations

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

1800 Howell Mill Rd NW
Ste 275
Atlanta, GA 30318
Phone (404) 287-0054

75 Piedmont Ave NE
Ste 700
Atlanta, GA 30303
Phone (404) 756-1410

720 Westview Dr SW
Bldg 100A
Atlanta, GA 30310

5670 Old Winder Hwy
Ste 200
Braselton, GA 30517
Phone (404) 593-0090

2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000

638 441 Historic Hwy N
Ste C
Demorest, GA 30535
Phone (706) 754-3022

1595 Cleveland Ave
East Point, GA 30344
Phone (404) 305-8086

1513 Cleveland Ave
Bldg 500
East Point, GA 30344
Phone (404) 756-1204

1287 Sims St
Gainesville, GA 30501
Phone (855) 462-8264

1475 Jesse Jewell Pkwy NE
#300
Gainesville, GA 30501
Phone (678) 825-3685

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

4245 Johns Creek Pkwy
Ste D
Suwanee, GA 30024
Phone (770) 495-3820

317 Resource Pkwy
Winder, GA 30680

Interoperability endpoints

  • Direct secure messaging: syed.shirazi.1@19580.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/EFEHBA

Organizations & group practices 6

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": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450051200000",
    "number": "1720087018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 SIGMAN ROAD, NE",
            "address_2": "SUITE 200",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123819",
            "telephone_number": "770-483-9330",
            "fax_number": "770-483-3731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SIGMAN ROAD, NE",
            "address_2": "SUITE 200",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123819",
            "telephone_number": "770-483-9330",
            "fax_number": "770-483-3731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRAZI",
        "first_name": "SYED",
        "middle_name": "HAIDER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2015-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "018740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

Verify at the official NPI Registry.