Active NPI
Basheer Sufyan Alghizzawi, M.D.
- Student in an Organized Health Care Education/Training Program
- Dalton, GA
National Provider Identifier
1851234637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1107 Memorial Dr. Suite G2 Family Medicine Clinic
Dalton, GA 30720 - Phone
- (706) 686-8015
- NPI assigned
- Apr 14, 2026
- Last updated
- Apr 14, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
1107 Memorial Dr. Suite G2 Family Medicine Clinic
Dalton, GA 30720
Mailing address
Rateb Al Batainch St. Jordan
Irbid, IRBID 21163
JO
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776124800000",
"number": "1851234637",
"addresses": [
{
"country_code": "JO",
"country_name": "Jordan",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "RATEB AL BATAINCH ST. JORDAN",
"city": "IRBID",
"state": "IRBID",
"postal_code": "21163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 MEMORIAL DR. SUITE G2 FAMILY MEDICINE CLINIC",
"city": "DALTON",
"state": "GA",
"postal_code": "30720",
"telephone_number": "706-686-8015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALGHIZZAWI",
"first_name": "BASHEER",
"middle_name": "SUFYAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-04-14",
"last_updated": "2026-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dalton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.