NPIMap

Individual provider Active NPI

Adil M Ansari, MD

  • Family Medicine Physician
  • Marietta, GA
National Provider Identifier
1730366378
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
73284 Issued in GA
Practice address
660 Cherokee St NE Ste 100
Marietta, GA 30060-8930
Phone
(678) 797-8201
NPI assigned
Jan 25, 2008
Last updated
Mar 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35095677 OH
Family Medicine Physician 207Q00000X 73284 GA Primary

Addresses

Primary practice location

660 Cherokee St NE Ste 100
Marietta, GA 30060-8930

Mailing address

PO Box 339
Enon, OH 45323-0339
Phone (937) 864-7363

Other practice location 1

7790 Dayton Rd
Suite B
Fairborn, OH 45324
Phone (937) 864-7363

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
I20150505001777 GA Practitioner - Family Practice 0941492102 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Piedmont Medical Care CorporationGroup PAC ID 6002802220, 368 clinicians

Practice addresses (Care Compare)

660 Cherokee St NE
Suite 100
Marietta, GA 30060-8930
Phone (678) 797-8210

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
73284GAMDFamily Medicine Physician
35095677OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Afc Physicians of Georgia Primary Care, PC Family Medicine CurrentSince Jan 15, 2019 Accepting new patients
Afc Physicians of Georgia Urgent Care, PC CurrentSince Apr 3, 2021 Accepting new patients
Afc Physicians of Georgia Primary Care, PC Family Medicine Current Accepting new patients
Piedmont Medical Care Corporation Family Medicine CurrentSince Jan 13, 2023 Accepting new patients
Afc Physicians of Georgia, PC CurrentSince Mar 11, 2015 Accepting new patients
Afc Physicians of Georgia, PC CurrentSince Mar 11, 2015 Accepting new patients
Citran Xray LLC Past Accepting new patients
Piedmont Providers LLC Past Accepting new patients

Locations

105 Collier Rd NW
Ste 5020
Atlanta, GA 30309
Phone (404) 350-3860

5001 Peachtree Blvd
Ste 115
Chamblee, GA 30341
Phone (770) 458-8929

3481 Ernest W Barrett Pkwy SW
Marietta, GA 30064
Phone (678) 348-5119

660 Cherokee St NE
Ste 100
Marietta, GA 30060
Phone (404) 425-5570

12994 Highway 9 N
Milton, GA 30004
Phone (678) 205-8155

Organizations & group practices 9

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 8

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": "1201219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1730366378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 339",
            "city": "ENON",
            "state": "OH",
            "postal_code": "453230339",
            "telephone_number": "937-864-7363",
            "fax_number": "937-864-5895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 CHEROKEE ST NE STE 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300608930",
            "telephone_number": "678-797-8201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7790 Dayton Rd",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Fairborn",
            "state": "OH",
            "postal_code": "45324",
            "country_code": "US",
            "telephone_number": "937-864-7363",
            "fax_number": "937-864-5895",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANSARI",
        "first_name": "ADIL",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-25",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35095677",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "73284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.