Organization Active NPI

Pulmonary Associates, LLC

  • Pulmonary Disease Physician
  • Warner Robins, GA
National Provider Identifier
1730199662
Registry record updated Feb 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
049978 Issued in GA
Legal business name
PULMONARY ASSOCIATES, LLC
Practice address
105 Briarcliff Rd
Suite B
Warner Robins, GA 31088-4039
Phone
(478) 922-8900
Fax
(478) 922-8989
NPI assigned
Aug 9, 2006
Last updated
Feb 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2010

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

Authorized official

Name
Hatem Abed Asad, MDNPI 1326095662
Title
Owner
Phone
(478) 922-8900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 049978 GA
Pulmonary Disease Physician 207RP1001X 049978 GA Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 049978 GA

Addresses

Primary practice location

105 Briarcliff Rd
Suite B
Warner Robins, GA 31088-4039

Mailing address

105 Briarcliff Rd
Ste B
Warner Robins, GA 31088-4039
Phone (478) 922-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041004000477 GA Part B Supplier - Clinic/Group Practice 5890754113 Receives reassigned benefits from 1 practitioner
Practice locations: Warner Robins, GA

National Provider Directory

National Provider Directory

Locations

209 Wes Park Dr
Ste B
Perry, GA 31069
Phone (478) 988-0447

105 Briarcliff Rd
Ste B
Warner Robins, GA 31088
Phone (478) 922-8900

2054 Watson Blvd
#B
Warner Robins, GA 31093
Phone (478) 329-0863

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267056000000",
    "number": "1730199662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 BRIARCLIFF RD",
            "address_2": "STE B",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310884039",
            "telephone_number": "478-922-8900",
            "fax_number": "478-922-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 BRIARCLIFF RD",
            "address_2": "SUITE B",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310884039",
            "telephone_number": "478-922-8900",
            "fax_number": "478-922-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2010-02-25",
        "status": "A",
        "authorized_official_last_name": "ASAD",
        "authorized_official_first_name": "HATEM",
        "authorized_official_middle_name": "ABED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-922-8900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "049978",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "GA",
            "license": "049978",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "GA",
            "license": "049978",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.