Hazim a. Farisi MD PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

016201 Issued in GA

Legal business name

HAZIM A. FARISI MD PC

Doing business as

Friendship Clinic

Practice address

4965 Friendship Rd
Suite 103
Buford, GA 30518-1700

Phone

(678) 714-5692

Fax

(678) 714-5693

NPI assigned

Nov 29, 2007

Last updated

Aug 17, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Farisi

Title

Office Manager

Phone

(678) 714-5692

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Friendship Clinic Doing business as

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313539200000",
    "number": "1801078001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4965 FRIENDSHIP RD",
            "address_2": "SUITE 103",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305181700",
            "telephone_number": "678-714-5692",
            "fax_number": "678-714-5693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4965 FRIENDSHIP RD",
            "address_2": "SUITE 103",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305181700",
            "telephone_number": "678-714-5692",
            "fax_number": "678-714-5693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAZIM A. FARISI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2011-08-17",
        "status": "A",
        "authorized_official_last_name": "FARISI",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "678-714-5692"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "016201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00457168C",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1801078001",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1700938123",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PIN",
            "identifier": "GRP4668",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Friendship Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Constance Harrison, DC
• Joseph Hart, BCBA
• Nadia A Hason, PHARMD, BCPS
• Caitlyn Haygood, PA-C
• Haylee Home Care Services
• Health Choice Urgent Care, LLC
• Health Solutions, LLC
• Healthqwest Frontiers LLC
• Helen E Heiskell, NP
• Help for Healthcare Professionals, Inc

• General Practice Physician in Buford, GA
• Providers in Buford, GA by specialty
• General Practice Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.