Asf Medical Center Inc
Organization Active NPI Internal Medicine Physician · Ocilla, GA
NPI 1811131998 · NPPES record last updated Apr 21, 2009
Key facts
- NPI
- 1811131998
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 044833 (GA)
- Legal business name
- ASF MEDICAL CENTER INC
- Practice address
- 357 Cargile Rd
Ocilla, GA 31774-3606 - Phone
- (229) 468-3373
- NPI assigned
- Apr 21, 2009
- Organization subpart
- No
Authorized official
- Name
- Ashfaq Saiyed, MD
- Title
- Medical Director
- Phone
- (229) 468-3373
Other NPIs on the same Medicare enrollment 4
Corporate family (same tax ID) 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090727000109 | GA | Part B Supplier - Clinic/Group Practice | 1254484124 |
Receives reassigned benefits from 1 practitioner 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Douglas, GA; Ocilla, GA; Pearson, GA |
National Provider Directory
- Tax ID family
- Asf Medical Center Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | 052819 | GA | |
| Emergency Medicine Physician |
207P00000X | 19352 | GA | |
| Internal Medicine Physician |
207R00000X | 044833 | GA | Yes |
| Pediatrics Physician |
208000000X | 048971 | GA |
Addresses
Primary practice location
357 Cargile Rd
Ocilla, GA 31774-3606
Mailing address
202 S Cherry St
Ocilla, GA 31774-1804
Phone (229) 468-3373
Other names
- ASF Medical Center Saiyed
Other providers in Ocilla, GA
- Advent Care Systems Home Care of Ocilla, LLC.
- Advent Care Systems of Ocilla, LLC
- Advent Care Systems of Ocilla, LLC
- Agape for Healing,LLC
- Asf Medical Center Inc
- Asf Medical Center Inc
- Jacoby Bell
- Bennett Drug Company
- Jessica Elizabeth Bentley
- Candace Michelle Billotte
All providers in Ocilla, GA · Internal 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 Apr 21, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.