Adil M Ansari, MD
Individual provider Active NPI Family Medicine Physician · Marietta, GA
NPI 1730366378 · NPPES record last updated Mar 2, 2023
Key facts
- NPI
- 1730366378
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 73284 (GA)
- Practice address
- 660 Cherokee St NE Ste 100
Marietta, GA 30060-8930 - Phone
- (678) 797-8201
- NPI assigned
- Jan 25, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 8
Medicare Care Compare profile
- 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 Corporation
Practice addresses (Care Compare)
660 Cherokee St NE
Suite 100
Marietta, GA 30060-8930
Phone (678) 797-8210
Hospital & facility affiliations
- Wellstar Home Health, LLC
- Accentcare Home Health of Georgia
- Central Home Health Care, an Amedisys Company
- Piedmont Hospital, Inc
- Wellstar Kennestone Regional Medical Center
- Piedmont Cartersville Medical Center
- Wellstar Paulding Medical Center
- Wellstar Windy Hill Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150505001777 | GA | Practitioner - Family Practice | 0941492102 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73284 | GA | MD | Family Medicine Physician |
| 35095677 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Afc Physicians of Georgia, PC | Current |
Accepting new patients | |
| Piedmont Medical Care Corporation | Family Medicine | Current |
Accepting new patients |
| Afc Physicians of Georgia Urgent Care, PC | Current |
Accepting new patients | |
| Afc Physicians of Georgia, PC | Current |
Accepting new patients | |
| Afc Physicians of Georgia Primary Care, PC | Family Medicine | Current | Accepting new patients |
| Afc Physicians of Georgia Primary Care, PC | Family Medicine | Current |
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 (678) 797-8201
12994 Highway 9 N
Milton, GA 30004
Phone (678) 205-8155
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35095677 | OH | |
| Family Medicine Physician | 207Q00000X | 73284 | GA | Yes |
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
Other providers in Marietta, GA
- Ann Drake Thomas M.D.,P.C.
- Anna Chos LLC
- Annette Mary Bernard MD P.a.
- Margaret Anochie
- Anodyne Pain Group of North Georgia LLC
- Lacey Ante
- Roxanne Camille Edwards Anthony
- Stephanie Michelle Antoline
- Katherine L Antoniades
- Richard Lawrence Antonio
All providers in Marietta, GA · Family Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.