Individual provider Active NPI

Amina Farooq, M.D.

  • Vascular & Interventional Radiology Physician
  • Gainesville, GA
National Provider Identifier
1821520131
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
102121 Issued in GA
Practice address
743 Spring St NE
Gainesville, GA 30501-3715
Phone
(770) 219-9000
Fax
(770) 219-6021
NPI assigned
Mar 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X D98775 MD
Vascular & Interventional Radiology Physician 2085R0204X 102121 GA Primary
Vascular & Interventional Radiology Physician 2085R0204X D98775 MD

Addresses

Primary practice location

743 Spring St NE
Gainesville, GA 30501-3715

Mailing address

22 S Greene St # S2A19
Baltimore, MD 21201-1544
Phone (404) 756-1368

Other practice location 1

720 Westview Dr SW
Atlanta, GA 30310-1458
Phone (404) 756-1368

Other practice location 2

22 S Greene St # S2A19
Baltimore, MD 21201-1544
Phone (631) 473-1320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, GA, CT4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20231107000574 DC Practitioner - Diagnostic Radiology 4082061478 Reassigns benefits to 1 organization
I20231107003203 MD Practitioner - Diagnostic Radiology 4082061478 Reassigns benefits to 4 organizations
I20250815002282 GA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 4082061478 Reassigns benefits to 3 organizations
I20260331002646 CT Practitioner - Diagnostic Radiology 4082061478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meritus Medical Center IncGroup PAC ID 7113811795, 730 clinicians
Phoebe Physician Group IncGroup PAC ID 8426112350, 420 clinicians
City of Hope Medical Group of Georgia LLCGroup PAC ID 4880841212, 137 clinicians
Northeast Georgia Physicians Group IncGroup PAC ID 6901898386, 884 clinicians

Practice addresses (Care Compare)

11116 Medical Campus Rd
Hagerstown, MD 21742-6710
Phone (301) 790-8000

114 Woodland St
Hartford, CT 06105-1208
Phone (860) 714-4000

151 Mayo St
Suite B
Americus, GA 31709-4782
Phone (229) 928-2900

151 Mayo St a
Americus, GA 31709-4782
Phone (229) 312-5800

151 Mayo St C
Americus, GA 31709-4782
Phone (229) 928-2882

151 Mayo St D
Americus, GA 31709-4782
Phone (229) 928-1100

151 Mayo St E
Americus, GA 31709-4782
Phone (229) 931-1159

417 W 3Rd Ave
Albany, GA 31701-1943
Phone (229) 312-5222

600 Celebrate Life Pkwy
Newnan, GA 30265-8001
Phone (770) 400-6080

743 Spring Nest
Gainesville, GA 30501-3715
Phone (770) 219-6000

Hospital & facility affiliations

  • Southeastern Regional Medical Center, Inc Hospital, Newnan, GA, CCN 110233
  • St Francis Hospital & Medical Center Hospital, Hartford, CT, CCN 070002
  • Northeast Georgia Medical Center, Inc Hospital, Gainesville, GA, CCN 110029
  • Meritus Medical Center Hospital, Hagerstown, MD, CCN 210001
  • Johnson Memorial Hospital Hospital, Stafford Springs, CT, CCN 070008

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D98775MDMDDiagnostic Radiology Physician
102121GAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Diagnostic Imaging Specialists P a Diagnostic Radiology CurrentSince Nov 6, 2023 Accepting new patients
Meritus Medical Center Inc Diagnostic Radiology CurrentSince Mar 24, 2025 Accepting new patients
University of Maryland Diagnostic Imaging Specialists P a Diagnostic Radiology CurrentSince Nov 6, 2023 Accepting new patients
University of Maryland Diagnostic Radiology, LLC Diagnostic Radiology CurrentSince Nov 6, 2023 Accepting new patients
City of Hope Medical Group of Georgia LLC Diagnostic Radiology CurrentSince Sep 29, 2025 Accepting new patients
University Imaging Center, LLC Diagnostic Radiology CurrentSince Nov 6, 2023 Accepting new patients
Northeast Georgia Physicians Group Inc CurrentSince Mar 1, 2026 Accepting new patients
Meritus Medical Center Inc Current Accepting new patients
Phoebe Physician Group, Inc CurrentSince Nov 1, 2025 Accepting new patients
University Imaging Center, LLC Diagnostic Radiology CurrentSince Nov 6, 2023 Accepting new patients
Meritus Medical Center Inc CurrentSince Mar 24, 2025 Accepting new patients
University of Maryland Diagnostic Radiology, LLC Diagnostic Radiology CurrentSince Nov 6, 2023 Accepting new patients
Columbus Radiology Corp Diagnostic Radiology Past Accepting new patients
University of Maryland Diagnostic Imaging Specialists P a Diagnostic Radiology PastSince Jan 26, 2025 Accepting new patients

Locations

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915

600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334

62742 Collections Ctr Dr
Chicago, IL 60693

419 W Redwood St
Baltimore, MD 21201
Phone (410) 328-5196

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

22 S Greene St
Rm S2A19
Baltimore, MD 21201
Phone (410) 328-1565

22 S Greene St
#S2A19
Baltimore, MD 21201
Phone (410) 328-9312

22 S Greene St
Rm N2E23
Baltimore, MD 21201
Phone (410) 328-5656

11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600

5 N La Plata Ct
Ste 104
La Plata, MD 20646
Phone (301) 539-0345

5 Garrett Ave
La Plata, MD 20646
Phone (301) 609-4000

Interoperability endpoints

  • Direct secure messaging: afarooq270962@cityofhope.direct-ci.com

Organizations & group practices 15

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

View all 15

Hospital & facility affiliations 9

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": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1821520131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST # S2A19",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011544",
            "telephone_number": "404-756-1368",
            "fax_number": "404-756-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 SPRING ST NE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013715",
            "telephone_number": "770-219-9000",
            "fax_number": "770-219-6021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 Westview Dr SW",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303101458",
            "country_code": "US",
            "telephone_number": "404-756-1368",
            "fax_number": "404-756-1313",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22 S Greene St # S2A19",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212011544",
            "country_code": "US",
            "telephone_number": "631-473-1320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAROOQ",
        "first_name": "AMINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-28",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D98775",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "GA",
            "license": "102121",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MD",
            "license": "D98775",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.