NPIMap

Organization Active NPI

Amina Medical Consultants PC

  • Primary Care Clinic/Center
  • Atlanta, GA
National Provider Identifier
1780083188
Registry record updated Aug 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
45494 Issued in GA
Legal business name
AMINA MEDICAL CONSULTANTS PC
Practice address
2840 Northeast Expy NE
Suite#116
Atlanta, GA 30345-4214
Phone
(404) 929-1402
Fax
(404) 929-1406
NPI assigned
Aug 21, 2014
Last updated
Aug 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2014

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

Authorized official

Name
Dr. Amina Hassanali, M.D.NPI 1124013495
Title
Owner
Phone
(404) 610-8821

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 45494 GA Primary

Addresses

Primary practice location

2840 Northeast Expy NE
Suite#116
Atlanta, GA 30345-4214

Mailing address

2840 NE Expy NE
Suite#116
Atlanta, GA 30345-4214
Phone (404) 929-1402

Other identifiers 1

IdentifierTypeStateIssuer
000806935EMedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141013002543 GA Part B Supplier - Clinic/Group Practice 2163642232 Receives reassigned benefits from 2 practitioners
Practice locations: Atlanta, GA

National Provider Directory

National Provider Directory

Locations

2840 Ne
Atlanta, GA 30345
Phone (404) 929-1402

2840 Ne
Ste 116
Atlanta, GA 30345
Phone (404) 201-0125

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408579200000",
    "number": "1780083188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 NE EXPY NE",
            "address_2": "SUITE#116",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303454214",
            "telephone_number": "404-929-1402",
            "fax_number": "404-929-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 NORTHEAST EXPY NE",
            "address_2": "SUITE#116",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303454214",
            "telephone_number": "404-929-1402",
            "fax_number": "404-929-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMINA MEDICAL CONSULTANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-21",
        "last_updated": "2014-08-21",
        "status": "A",
        "authorized_official_last_name": "HASSANALI",
        "authorized_official_first_name": "AMINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-610-8821",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "45494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000806935E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.