Individual provider Active NPI

Ahsan Nader Achtchi, D.O.

  • Interventional Cardiology Physician
  • Dalton, GA
National Provider Identifier
1821256496
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
66447 Issued in GA
Practice address
1436 Broadrick Dr Ste B
Dalton, GA 30720-3009
Phone
(706) 226-3434
Fax
(706) 226-4820
NPI assigned
May 29, 2008
Last updated
Dec 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 66447 GA Primary

Addresses

Primary practice location

1436 Broadrick Dr Ste B
Dalton, GA 30720-3009

Mailing address

1436 Broadrick Dr Ste B
Dalton, GA 30720-3009
Phone (706) 226-3434

Other names 1

  • Dr. Ehsan Nader Achtchi Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190328001141 GA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 0042592438 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hamilton Medical Center, IncGroup PAC ID 0446151179, 105 clinicians
Hamilton Physician Group, IncGroup PAC ID 4789708553, 120 clinicians

Practice addresses (Care Compare)

1200 Memorial Dr
Dalton, GA 30720-2529
Phone (706) 272-6000

1436 Broadrick Dr
Suite B
Dalton, GA 30720-3009
Phone (706) 226-3434

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.11 of 100Reported as apm
Quality
84.96
Promoting interoperability
30
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting29
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
66447GAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Physician Group Inc CurrentSince Dec 1, 2024 Accepting new patients
Hamilton Medical Center, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Bagnoli and Salah Partnership PastSince Jul 9, 2016 Accepting new patients

Locations

215 Curtis Pkwy NE
Calhoun, GA 30701
Phone (706) 226-3434

1422 Green Rd
Ste D
Chatsworth, GA 30705
Phone (706) 277-7311

1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115

1436 Broadrick Dr
Ste B
Dalton, GA 30720
Phone (706) 226-3434

4635 Battlefield Pkwy
Ringgold, GA 30736
Phone (706) 259-3336

Interoperability endpoints

  • Direct secure messaging: aachtchi298869@directwellstar.org
  • Direct secure messaging: aachtchi39301@hhcs.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1821256496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1436 BROADRICK DR STE B",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203009",
            "telephone_number": "706-226-3434",
            "fax_number": "706-226-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1436 BROADRICK DR STE B",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203009",
            "telephone_number": "706-226-3434",
            "fax_number": "706-226-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACHTCHI",
        "first_name": "AHSAN",
        "middle_name": "NADER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-29",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "GA",
            "license": "66447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EHSAN",
            "last_name": "ACHTCHI",
            "middle_name": "NADER",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dalton, GA

Sources for this page

Verify at the official NPI Registry.