Active NPI
Maida Imtiaz Ahmad, OD
- Optometrist
- Canton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT003333
- Practice address
- 201 Kimberly Way Ste 200
Canton, GA 30114-8010 - Phone
- (678) 381-2020
- Fax
- (678) 381-2015
- NPI assigned
- Jul 1, 2021
- Last updated
- Jun 15, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT003333 | GA | Primary |
Addresses
Primary practice location
201 Kimberly Way Ste 200
Canton, GA 30114-8010
Mailing address
1300 Peachtree Industrial Blvd Ste 1201
Suwanee, GA 30024-4550
Phone (678) 381-2020
Other practice location 1
1034 Haw Creek Cir Ste 100
Cumming, GA 30041-6513
Phone (404) 989-0099
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OPT003333 | Other | GA | PROFESSIONAL LICENSE |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Emory University School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
201 Kimberly Way
Suite 200
Canton, GA 30114-8010
Phone (678) 381-2020
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.14 of 100
- Quality
- 94
- Promoting interoperability
- 71
- Improvement activities
- 40
- Cost
- 77.3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milan Eye LLC | Current | Accepting new patients | |
| Alpharetta Eye Surgery Center LLC | Past | Accepting new patients | |
| Buford Eye Surgery Center | Past | Accepting new patients |
Locations
201 Kimberly Way
Ste 200
Canton, GA 30114
3775 Roswell Rd
Ste 100
Marietta, GA 30062
1300 Peachtree Industrial Blvd
Ste 1201
Suwanee, GA 30024
Phone (770) 614-6266
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ambulatory Surgical Clinic/Center
- Alpharetta, GA
- NPI 1164938825
-
- Ambulatory Surgical Clinic/Center
- Buford, GA
- NPI 1609285386
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655251200000",
"number": "1851962724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 PEACHTREE INDUSTRIAL BLVD STE 1201",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300244550",
"telephone_number": "678-381-2020",
"fax_number": "678-381-2015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 KIMBERLY WAY STE 200",
"city": "CANTON",
"state": "GA",
"postal_code": "301148010",
"telephone_number": "678-381-2020",
"fax_number": "678-381-2015"
}
],
"practiceLocations": [
{
"address_1": "1034 Haw Creek Cir Ste 100",
"address_purpose": "LOCATION",
"city": "Cumming",
"state": "GA",
"postal_code": "300416513",
"country_code": "US",
"telephone_number": "404-989-0099",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AHMAD",
"first_name": "MAIDA",
"middle_name": "IMTIAZ",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-01",
"last_updated": "2022-06-15",
"certification_date": "2022-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT003333",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROFESSIONAL LICENSE",
"identifier": "OPT003333",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Canton, GA
- Advanced Urology Institute of Georgia, LLC (Advanced Urology Institute of Georgia)
- Advanced Wound and Ostomy Solutions
- Aegis Group Practice LLC
- Lauren Galbraith Agee, NP-C
- Khizer Khurshid Ahmad, MD
- Ahs Surgery Center Canton LLC
- Mohammed Jaafar Atta Al Fayyadh, M.D.
- Tamim Mohamad Al-Kharrat, MD
- Francheska Desravines Alcide, M.D.
- Guimy Alexis, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.