NPIMap

Individual provider Active NPI

Saba Khan, M.D.

  • Nephrology Physician
  • Douglasville, GA
National Provider Identifier
1821485921
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
82316 Issued in GA
Practice address
8570 Hospital Dr
Douglasville, GA 30134-2413
Phone
(470) 227-8130
Fax
(470) 747-7588
NPI assigned
Apr 16, 2015
Last updated
Dec 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 82316 GA Primary

Addresses

Primary practice location

8570 Hospital Dr
Douglasville, GA 30134-2413

Mailing address

1720 Mars Hill Rd NW Ste 120-380
Acworth, GA 30101-7127
Phone (470) 227-8130

Other practice location 1

4450 Calibre Xing NW Ste 1126
Acworth, GA 30101-4104
Phone (470) 227-8130

Other practice location 2

103 Mountain Brook Dr Ste 100
Holly Springs, GA 30115-9078
Phone (470) 227-8130

Other practice location 3

1020 J L White Dr Ste 110
Jasper, GA 30143-4916
Phone (470) 227-8130

Other names 1

  • Saba Salam Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@cowryhealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200527002039 GA Practitioner - Internal MedicinePractitioner - Nephrology 9032410774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Crescent Nephrology PCGroup PAC ID 2466449269, 7 clinicians

Practice addresses (Care Compare)

250 Village Ctr Pkwy
Suite 100
Stockbridge, GA 30281-9104
Phone (678) 289-0508

Hospital & facility affiliations

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: info@cowryhealth.com
  • Direct secure messaging: skhan38675@direct.davitaphysiciansolutions.com

Organizations & group practices 1

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 8

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": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1821485921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 MARS HILL RD NW STE 120-380",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301017127",
            "telephone_number": "470-227-8130",
            "fax_number": "470-747-7588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8570 HOSPITAL DR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301342413",
            "telephone_number": "470-227-8130",
            "fax_number": "470-747-7588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4450 Calibre Xing NW Ste 1126",
            "address_purpose": "LOCATION",
            "city": "Acworth",
            "state": "GA",
            "postal_code": "301014104",
            "country_code": "US",
            "telephone_number": "470-227-8130",
            "fax_number": "470-747-7588",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "103 Mountain Brook Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Holly Springs",
            "state": "GA",
            "postal_code": "301159078",
            "country_code": "US",
            "telephone_number": "470-227-8130",
            "fax_number": "470-747-7588",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1020 J L White Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "GA",
            "postal_code": "301434916",
            "country_code": "US",
            "telephone_number": "470-227-8130",
            "fax_number": "470-747-7588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SABA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-16",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "82316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@cowryhealth.com",
            "affiliation": "N",
            "endpointDescription": "contact information",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8570 Hospital Dr",
            "city": "Douglasville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301342413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SABA",
            "last_name": "SALAM",
            "credential": "MBBS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Douglasville, GA

Sources for this page

Verify at the official NPI Registry.