Urooj Ather, MD
Individual provider Active NPI Family Medicine Physician · Villa Rica, GA
NPI 1841452166 · NPPES record last updated Oct 20, 2014
Key facts
- NPI
- 1841452166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 069910 (GA)
- Practice address
- 705 Dallas Hwy
Suite 101
Villa Rica, GA 30180-1247 - Phone
- (770) 456-4411
- Fax
- (770) 812-3582
- NPI assigned
- Jun 27, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (10 enrollments) in GA, IN, WI, NY, TX, FL, AL, NC, CA, ND
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130918000168 | GA | Practitioner - Family Practice | 1052555869 | Reassigns benefits to 2 organizations |
| I20250409002084 | IN | Practitioner - Family Practice | 1052555869 | Reassigns benefits to 1 organization |
| I20250411000045 | WI | Practitioner - Family Practice | 1052555869 | Reassigns benefits to 1 organization |
| I20250411001623 | NY | Practitioner - Family Practice | 1052555869 | Reassigns benefits to 1 organization |
| I20250416000496 | TX | Practitioner - Family Practice | 1052555869 | Reassigns benefits to 1 organization |
| I20250425001334 | FL | Practitioner - Family Practice | 1052555869 | |
| I20250516002696 | AL | Practitioner - Family Practice | 1052555869 | Reassigns benefits to 1 organization |
| I20250525000048 | NC | Practitioner - Family Practice | 1052555869 | Reassigns benefits to 1 organization |
| I20250605003814 | CA | Practitioner - Family Practice | 1052555869 | Reassigns benefits to 1 organization |
| I20250606003014 | ND | Practitioner - Family Practice | 1052555869 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tanner Medical Group Inc | Family Medicine | Current |
Accepting new patients |
| CPN Network LLC | Family Medicine | Current |
Accepting new patients |
| Convenient Care Clinic, PLLC | Current |
Accepting new patients |
Locations
505 20th St N
Ste 1220
Birmingham, AL 35203
Phone (205) 641-4979
119 Ambulance Dr
Ste 202
Carrollton, GA 30117
Phone (770) 838-8710
706 Dixie St
Ste 220
Carrollton, GA 30117
Phone (770) 812-8825
157 Clinic Ave
Ste 302A
Carrollton, GA 30117
Phone (770) 812-5886
3380 Florence Rd
Ste 200
Powder Springs, GA 30127
705 Dallas Hwy
Ste 101
Villa Rica, GA 30180
Phone (770) 456-4411
690 Dallas Hwy
Ste 207A
Villa Rica, GA 30180
Phone (770) 456-3646
1048 Sagamore Pkwy W
#B
West Lafayette, IN 47906
Phone (708) 459-6077
207 W Millbrook Rd
Ste 210
Raleigh, NC 27609
Phone (919) 505-1133
3306 Sheyenne St
Ste 216
West Fargo, ND 58078
Phone (701) 532-1731
5900 Balcones Dr
#8320
Austin, TX 78731
3026 W Concordia Ave
Milwaukee, WI 53216
Phone (414) 253-7494
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 069910 | GA | Yes |
Addresses
Primary practice location
705 Dallas Hwy
Suite 101
Villa Rica, GA 30180-1247
Mailing address
119 Ambulance Dr
Suite 202
Carrollton, GA 30117-3857
Phone (770) 838-8710
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003137337B | Medicaid | GA |
Other providers in Villa Rica, GA
- Sylvanus K Anuforo
- Apollo Occupational Health LLC
- Kayla Michelle Arnold
- Shelbie Monique Arnold
- Arun K Kantamneni MD, Inc.
- Atrianon, LLC
- Edwidge Azor-Antoine
- Elizabeth Grace Babcock
- George W Bailey
- Jennifer Bailey
All providers in Villa Rica, GA · Family Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.