Active NPI
Khaldon A Al Saadi, M.D.
- Surgery Physician
- Alma, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 53974
- Practice address
- 204 E 15TH St
Alma, GA 31510-2908 - Phone
- (912) 632-0314
- Fax
- (912) 632-2554
- NPI assigned
- May 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 53974 | GA | Primary |
Addresses
Primary practice location
204 E 15TH St
Alma, GA 31510-2908
Mailing address
204 E 15TH St
Alma, GA 31510-2908
Phone (912) 632-0314
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0010173800002 | Medicaid | PA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171211001722 | GA | Practitioner - General Surgery | 6103888763 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Georgia Physicians Group, LLC | Surgery | Current | Accepting new patients |
| Orthopaedic Specialists of South Georgia | Past | Accepting new patients | |
| Bacon County Health Services, Inc. | Past | Accepting new patients | |
| Bacon County Health Services, Inc. | Past | Accepting new patients |
Locations
204 E 15th St
Alma, GA 31510
Phone (912) 632-2952
205 S Wayne St
Alma, GA 31510
Phone (912) 383-9789
1406 Habersham Dr
Waycross, GA 31501
Phone (912) 287-0333
Interoperability endpoints
- kalsaadi@direct.excelahealth.org
- khaldon.alsaadi@bacon.gadirect.net
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.
-
- Critical Access Hospital
- Alma, GA
- NPI 1629185285
-
- Orthopaedic Surgery Physician
- Alma, GA
- NPI 1639485394
-
- Orthopaedic Surgery Physician
- Waycross, GA
- NPI 1912019308
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baxley, GA
- NPI 1861615304
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- South Georgia Physicians Group, LLC
Practice addresses (Care Compare)
204 E 15TH St
Alma, GA 31510-2908
Phone (912) 632-2952
Hospital & facility affiliations
- Bacon County Hospital
- Appling Healthcare
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 33 |
| Hernia repair - groin (open) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 22 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508803200000",
"number": "1760433304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 E 15TH ST",
"city": "ALMA",
"state": "GA",
"postal_code": "315102908",
"telephone_number": "912-632-0314",
"fax_number": "912-632-2554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 E 15TH ST",
"city": "ALMA",
"state": "GA",
"postal_code": "315102908",
"telephone_number": "912-632-0314",
"fax_number": "912-632-2554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AL SAADI",
"first_name": "KHALDON",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2017-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "GA",
"license": "53974",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0010173800002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alma, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.