Individual provider Active NPI

Nadeem N Hoodbhoy, MD

  • Family Medicine Physician
  • Conyers, GA
National Provider Identifier
1841297520
Registry record updated Jun 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
053756 Issued in GA
Practice address
2020 Honey Creek Pkwy SE
Conyers, GA 30013-2974
Phone
(770) 929-0813
Fax
(770) 922-8653
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 053756 GA Primary

Addresses

Primary practice location

2020 Honey Creek Pkwy SE
Conyers, GA 30013-2974

Mailing address

2020 Honey Creek Pkwy SE
Conyers, GA 30013-2974
Phone (770) 929-0813

Other identifiers 1

IdentifierTypeStateIssuer
997880438AMedicaidGA

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
I20040415000721 GA Practitioner - Family Practice 0143215681

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2020 Honey Creek Pkwy SE
Conyers, GA 30013-2974

Hospital & facility affiliations

  • Central Home Health Care, an Amedisys Company Home health agency, Tucker, GA, CCN 117026
  • Amedisys Home Health of Covington Home health agency, Covington, GA, CCN 117065
  • Bridgeway Home Health Home health agency, Conyers, GA, CCN 117111
  • Centerwell Home Health Home health agency, Kennesaw, GA, CCN 117027
  • Pruitthealth at Home - Atlanta Home health agency, Norcross, GA, CCN 117118
  • Piedmont Rockdale Hospital Hospital, Conyers, GA, CCN 110091
  • Piedmont Newton Hospital Hospital, Covington, GA, CCN 110018
  • Piedmont Henry Hospital Hospital, Stockbridge, GA, CCN 110191
  • Piedmont Eastside Medical Center Hospital, Snellville, GA, CCN 110192

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
053756GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rockdale Family Practice, PC Family Medicine CurrentSince Dec 3, 2003 Accepting new patients

Locations

2020 Honey Creek Pkwy SE
Conyers, GA 30013
Phone (770) 929-0813

Interoperability endpoints

  • Direct secure messaging: nadeem.hoodbhoy@rfp.gadirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276646400000",
    "number": "1841297520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 HONEY CREEK PKWY SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300132974",
            "telephone_number": "770-929-0813",
            "fax_number": "770-922-8653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 HONEY CREEK PKWY SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300132974",
            "telephone_number": "770-929-0813",
            "fax_number": "770-922-8653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOODBHOY",
        "first_name": "NADEEM",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2010-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "053756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "997880438A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

Verify at the official NPI Registry.