NPIMap

Individual provider Active NPI

Ayyaz Mahmood Qureshi, MD

  • Internal Medicine Physician
  • Snellville, GA
National Provider Identifier
1730114026
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
24177 Issued in GA
Practice address
1550 Janmar Rd Ste B
Snellville, GA 30078-5779
Phone
(770) 822-3031
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 24177 GA Primary

Addresses

Primary practice location

1550 Janmar Rd Ste B
Snellville, GA 30078-5779

Mailing address

1550 Janmar Rd Ste B
Snellville, GA 30078-5779
Phone (770) 822-3031

Other identifiers 1

IdentifierTypeStateIssuer
003286374AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191205002398 GA Practitioner - Internal Medicine 1456402312 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
1St Care Management, Inc.Group PAC ID 3375823636, 2 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians
Esop Rehabilitation LLCGroup PAC ID 9739305749, shared by 9 NPIs, 224 clinicians

Practice addresses (Care Compare)

1120 Hope Rd
Suite 210
Sandy Springs, GA 30350-2957
Phone (833) 633-4778

1550 Janmar Rd
Suite B
Snellville, GA 30078-5779
Phone (770) 822-3031

2600 Compass Rd
Glenview, IL 60026-8001

875 Flat Shoals Rd SE
Conyers, GA 30094-6640
Phone (770) 785-7669

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.77 of 100Reported as individual
Quality
89.93
Improvement activities
40
Cost
53.25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24177GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
1St Care Management, Inc. CurrentSince Sep 24, 2019 Accepting new patients
Interventional Pain & Spine Specialists, PLLC Past Accepting new patients

Locations

1120 Hope Rd
Ste 210
Sandy Springs, GA 30350
Phone (404) 867-5202

1120 Hope Rd
Ste 100
Sandy Springs, GA 30350

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6303/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/DCGDCD

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.

Hospital & facility affiliations 10

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1730114026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 JANMAR RD STE B",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300785779",
            "telephone_number": "770-822-3031",
            "fax_number": "770-822-3032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 JANMAR RD STE B",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300785779",
            "telephone_number": "770-822-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QURESHI",
        "first_name": "AYYAZ",
        "middle_name": "MAHMOOD",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "24177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003286374A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

Verify at the official NPI Registry.