Individual provider Active NPI

Ali Z Fakhri, M.D.

  • Internal Medicine Physician
  • Rome, GA
National Provider Identifier
1861421901
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
39567 Issued in GA
Practice address
1305 Redmond Cir NW
Building 103 - Clinical Director'S Office
Rome, GA 30165-1345
Phone
(706) 295-6285
NPI assigned
Jul 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 39567 GA Primary

Addresses

Primary practice location

1305 Redmond Cir NW
Building 103 - Clinical Director'S Office
Rome, GA 30165-1345

Mailing address

1305 Redmond Cir NW
Building 103 - Clinical Director'S Office
Rome, GA 30165-1345
Phone (706) 295-6285

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
39567GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Department of Behavioral Health & Developmental Disabilities Current Accepting new patients

Locations

3405 Old Savannah Rd
Augusta, GA 30906
Phone (705) 790-2030

1915 Eisenhower Dr
Savannah, GA 31406
Phone (912) 356-2011

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.

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861421901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 REDMOND CIR NW",
            "address_2": "BUILDING 103 - CLINICAL DIRECTOR'S OFFICE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651345",
            "telephone_number": "706-295-6285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 REDMOND CIR NW",
            "address_2": "BUILDING 103 - CLINICAL DIRECTOR'S OFFICE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651345",
            "telephone_number": "706-295-6285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAKHRI",
        "first_name": "ALI",
        "middle_name": "Z",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "39567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.