Zavier Carvel Ash, M.D.
Individual provider Active NPI Family Medicine Physician · Tucker, GA
NPI 1770569204 · NPPES record last updated Nov 7, 2022
Key facts
- NPI
- 1770569204
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 047692 (GA)
- Practice address
- 1475 Montreal Rd
Tucker, GA 30084-6922 - Phone
- (678) 292-6606
- NPI assigned
- Dec 16, 2005
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 047692 | GA | Yes |
Addresses
Primary practice location
1475 Montreal Rd
Tucker, GA 30084-6922
Mailing address
PO Box 390005
Snellville, GA 30039-0001
Phone (404) 296-8500
Other practice location 1
285 Boulevard NE Ste 435
Atlanta, GA 30312-4213
Phone (404) 222-9914
Other practice location 2
5470 Memorial Dr
Ste. A
Stone Mountain, GA 30083-3214
Phone (404) 296-8500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000863464E | Medicaid | GA | |
| 000863464F | Medicaid | GA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | ECW | Health Information Exchange (HIE) |
Other providers in Tucker, GA
- Applied Home Care
- Nita Arias
- Robin R Armenia
- Om P Arora
- Ehiozogie N Asemota
- Tova Asher
- Karen Lynn Asherbranner
- Michelle Ashuri
- Asili Wellness
- Aspire Allied Healthcare
All providers in Tucker, 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 Nov 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.