Farhana Kaderin

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

074510 Issued in GA

Practice address

709 Breedlove Dr
Monroe, GA 30655-2055

Phone

(732) 516-8019

NPI assigned

Jul 25, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Farhana Karim Khan Former name

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

Specialty

Psychiatry

Education

Other, 1996

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northside Hospital Gwinnett Hospital, Lawrenceville, GA, CCN 110087
• Piedmont Eastside Medical Center Hospital, Snellville, GA, CCN 110192

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Clearmind Psychiatry LLC

  • Psychiatry Physician
  • Lawrenceville, GA
  • NPI 1013492891
  Medicare reassignment NPD Authorized official
• Uhs of Summitridge, LLC

  dba SummitRidge Center for Psychiatry &Addictive Medicine

  • Psychiatric Hospital
  • Lawrenceville, GA
  • NPI 1407021546
  NPD (past)

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

• Eastside Medical Center, LLC

  dba Piedmont Eastside Medical Center

  • General Acute Care Hospital
  • Snellville, GA
  • NPI 1467406132
  Care Compare affiliation
• Northside Hospital, Inc.

  dba Northside Hospital Gwinnett

  • General Acute Care Hospital
  • Lawrenceville, GA
  • NPI 1952340994
  Care Compare affiliation

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

{
    "created_epoch": "1374710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1831531227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2279 SEVER RD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300434028",
            "telephone_number": "732-516-8019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 BREEDLOVE DR",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306552055",
            "telephone_number": "732-516-8019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADERIN",
        "first_name": "FARHANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-25",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "074510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FARHANA",
            "last_name": "KHAN",
            "middle_name": "KARIM",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephen Blake Jones, PT, DPT
• Marie Berlege Joseph, NP
• Joshua a. Dubose, D.M.D., P.C.
• Journey Together Therapy Services, LLC
• K.C. Rameshm MD,P.C.
• Pooja H Kalaria, PT
• Rita Safowaa Karikari-Prempeh
• Keeley Kooken MSW LCSW LLC
• Lia Quinn Kelly, PT, DPT
• Trudy Anthony Kelly, PHARMD

• Psychiatry Physician in Monroe, GA
• Providers in Monroe, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.