Individual provider Active NPI

Amjid Nawaz, DO

  • Hospitalist Physician
  • Duluth, GA
National Provider Identifier
1720379142
Registry record updated Mar 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
78867 Issued in GA
Practice address
3620 Howell Ferry Rd
Duluth, GA 30096-3178
Phone
(678) 312-3294
Fax
(678) 312-3282
NPI assigned
Apr 20, 2011
Last updated
Mar 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X OH
Internal Medicine Physician 207R00000X 34.124171 OH
Internal Medicine Physician 207R00000X 2986 TN
Hospitalist Physician 208M00000X 2986 TN
Hospitalist Physician 208M00000X 78867 GA Primary

Addresses

Primary practice location

3620 Howell Ferry Rd
Duluth, GA 30096-3178

Mailing address

3620 Howell Ferry Rd
Duluth, GA 30096-3178
Phone (678) 312-3294

Other identifiers 1

IdentifierTypeStateIssuer
207R00000X-INTERNALMedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, TN, GA, FL4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20150807015690 HI Practitioner - Internal Medicine 1658518519 Reassigns benefits to 1 organization
I20160729001605 TN Practitioner - Internal Medicine 1658518519 Reassigns benefits to 1 organization
I20180614002451 GA Practitioner - Internal Medicine 1658518519 Reassigns benefits to 3 organizations
I20210520001200 FL Practitioner - Internal Medicine 1658518519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ohio University, College of Osteopathic Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gwinnett Hospital System Gme, LLCGroup PAC ID 0648504894, 23 clinicians

Practice addresses (Care Compare)

665 Duluth Hwy
Suite 401
Lawrenceville, GA 30046-4303
Phone (678) 312-0450

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36758SCMDPharmacist
34.124171OHMDInternal Medicine Physician
2986TNMDInternal Medicine Physician
78867GAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Broward Hospitalist Inc Internal Medicine CurrentSince Jun 1, 2021 Accepting new patients
North Atlanta Professional Services LLC Hospitalist CurrentSince Jul 1, 2024 Accepting new patients
Saint Thomas Medical Partners Internal Medicine CurrentSince Jun 18, 2016 Accepting new patients
Cogent Healthcare of Georgia PC Internal Medicine CurrentSince Jul 6, 2019 Accepting new patients
Sound Physicians of Hawaii Inc Internal Medicine CurrentSince Nov 1, 2015 Accepting new patients
Gwinnett Hospital System Gme, LLC Internal Medicine CurrentSince Feb 19, 2024 Accepting new patients
Gwinnett Medical Group, Inc Internal Medicine Past Accepting new patients
Northside Hospital, Inc. Past Accepting new patients

Locations

201 E Sample Rd
Deerfield Beach, FL 33064
Phone (954) 786-6400

4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005

3620 Howell Ferry Rd
Duluth, GA 30096
Phone (678) 312-3294

1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500

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

665 Duluth Hwy
Ste 401
Lawrenceville, GA 30046
Phone (678) 312-0450

665 Duluth Hwy
Ste 501
Lawrenceville, GA 30046
Phone (678) 312-0400

350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

79-1019 Haukapila St
Kealakekua, HI 96750
Phone (808) 322-4413

300 20th Ave N
Fl 9
Nashville, TN 37203

Organizations & group practices 8

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 1

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": "1303257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677974400000",
    "number": "1720379142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 HOWELL FERRY RD",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963178",
            "telephone_number": "678-312-3294",
            "fax_number": "678-312-3282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 HOWELL FERRY RD",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963178",
            "telephone_number": "678-312-3294",
            "fax_number": "678-312-3282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAWAZ",
        "first_name": "AMJID",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-20",
        "last_updated": "2023-03-05",
        "certification_date": "2023-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34.124171",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "2986",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "2986",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "78867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207R00000X-INTERNAL",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

Verify at the official NPI Registry.