Individual provider Active NPI

Ahmed Mostafa Nassar, M.D.

  • Ophthalmology Physician
  • Atlanta, GA
National Provider Identifier
1740267806
Registry record updated Aug 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
054428 Issued in GA
Practice address
777 Cleveland Ave SW
Suite 616
Atlanta, GA 30315-7129
Phone
(404) 766-6626
Fax
(404) 766-6260
NPI assigned
Dec 29, 2005
Last updated
Aug 6, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 054428 GA Primary

Addresses

Primary practice location

777 Cleveland Ave SW
Suite 616
Atlanta, GA 30315-7129

Mailing address

777 Cleveland Ave SW
Suite 616
Atlanta, GA 30315-7129
Phone (404) 766-6626

Other identifiers 2

IdentifierTypeStateIssuer
971776772MedicaidGA
P00479394OtherGARAIL ROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040621000650 GA Practitioner - Ophthalmology 4082699459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Meharry Medical College School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nassar Enterprises,LLCGroup PAC ID 1850475252, 4 clinicians

Practice addresses (Care Compare)

303 Prime PT
Peachtree City, GA 30269-3308
Phone (404) 806-8773

6524 Professional PL
Riverdale, GA 30274-2520
Phone (770) 996-2096

777 Cleveland Ave SW
Suite 616
Atlanta, GA 30315-7116
Phone (404) 766-6268

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.23 of 100Reported as group
Quality
100
Improvement activities
40
Cost
74.11

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery107

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nassar Enterprises,LLC Ophthalmology CurrentSince Jun 1, 2007 Accepting new patients
Nassar Enterprises Current Accepting new patients

Locations

777 Cleveland Ave SW
Ste 616
Atlanta, GA 30315
Phone (404) 766-6268

303 Prime Pt
Ste 616
Peachtree Cty, GA 30269

6524 Professional Pl
Riverdale, GA 30274
Phone (770) 994-4060

Interoperability endpoints

  • Direct secure messaging: direct@eyespecialistsofgeorgiaatlantaga.compulinkdirect.com

Organizations & group practices 2

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": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249516800000",
    "number": "1740267806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 CLEVELAND AVE SW",
            "address_2": "SUITE 616",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303157129",
            "telephone_number": "404-766-6626",
            "fax_number": "404-766-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 CLEVELAND AVE SW",
            "address_2": "SUITE 616",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303157129",
            "telephone_number": "404-766-6626",
            "fax_number": "404-766-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASSAR",
        "first_name": "AHMED",
        "middle_name": "MOSTAFA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2009-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "054428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "971776772",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00479394",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.