Ahmed Family Practice LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

AHMED FAMILY PRACTICE LLC

Practice address

528 Forest Pkwy
Ste a
Forest Park, GA 30297-6109

Phone

(404) 968-9469

NPI assigned

Jun 4, 2015

Last updated

Jan 28, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kashif Ahmed, M.D.NPI 1023227030

Title

Owner

Phone

(404) 968-9469

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kashif Ahmed, MD

  • Family Medicine Physician
  • McDonough, GA
  • NPI 1023227030
  Medicare reassignment Care Compare group NPD Authorized official
• Uwa Kalu Amoji, NP

  • Family Nurse Practitioner
  • Fayetteville, GA
  • NPI 1265910608
  Medicare reassignment Care Compare group NPD
• Sarah Grace Jeniolionis, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Riverdale, GA
  • NPI 1346051075
  Medicare reassignment Care Compare group NPD
• Ashley Blackmon, NP

  • Nurse Practitioner
  • Atlanta, GA
  • NPI 1306107685
  Medicare reassignment NPD

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453939200000",
    "number": "1831579812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 FOREST PKWY STE A",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302976109",
            "telephone_number": "404-968-9469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 FOREST PKWY",
            "address_2": "STE A",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302976109",
            "telephone_number": "404-968-9469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHMED FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-04",
        "last_updated": "2016-01-28",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "KASHIF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-968-9469",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Forest Park, GA
• Providers in Forest Park, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.