Individual provider Active NPI

Maged S Hamza, MD

  • Pain Medicine (Anesthesiology) Physician
  • Gainesville, GA
National Provider Identifier
1871551580
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
96749 Issued in GA
Practice address
715 Queen City Pkwy Ste 106
Gainesville, GA 30501-4335
Phone
(678) 450-1222
Fax
(706) 279-2679
NPI assigned
May 2, 2006
Last updated
Apr 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 0101228976 VA
Pain Medicine (Anesthesiology) Physician 207LP2900X 0101228976 VA
Pain Medicine (Anesthesiology) Physician 207LP2900X 96749 GA Primary

Addresses

Primary practice location

715 Queen City Pkwy Ste 106
Gainesville, GA 30501-4335

Mailing address

1413 Chattanooga Ave
Dalton, GA 30720-2631
Phone (706) 279-2635

Other practice location 1

301 Riverview Ave Ste 200
Norfolk, VA 23510
Phone (757) 995-2436

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NM, FL, TX, GA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20041006000176 VA Practitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Pain Management 3870552862 Reassigns benefits to 1 organization
I20170718001180 NM Practitioner - AnesthesiologyPractitioner - Pain Management 3870552862 Reassigns benefits to 1 organization
I20200922000123 FL Practitioner - Interventional Pain Management 3870552862
I20211201001983 TX Practitioner - Interventional Pain ManagementPractitioner - Pain Management 3870552862
I20240416002540 GA Practitioner - Pain ManagementPractitioner - Anesthesiology 3870552862 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Associates of Richmond LLCGroup PAC ID 8325514623, 3 clinicians
Center for Spine and Pain Medicine PCGroup PAC ID 6709875297, shared by 4 NPIs, 4 clinicians

Practice addresses (Care Compare)

7025 Old Jahnke Rd
Richmond, VA 23225-4126
Phone (804) 330-3225

715 Queen City Pkwy
Suite 106
Gainesville, GA 30501-4335
Phone (678) 450-1222

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
96749GAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Pain Relief Group PLLC CurrentSince Oct 1, 2021 Accepting new patients
New Mexico Bone and Joint Institute PC CurrentSince Jul 1, 2017 Accepting new patients
Texas Pain Relief Group, PLLC CurrentSince Oct 1, 2021 Accepting new patients
Center for Spine & Pain Medicine, PC Current Accepting new patients
New Mexico Bone and Joint Institute PC CurrentSince Jul 1, 2017 Accepting new patients
Center for Spine & Pain Medicine PC Anesthesiology CurrentSince Apr 1, 2024 Accepting new patients
Center for Spine & Pain Medicine PC CurrentSince Apr 1, 2024 Accepting new patients
Texas Pain Relief Group PLLC Past Accepting new patients
Midatlantic Spine Specialists P C Past Accepting new patients

Locations

3450 E Fletcher Ave
Ste 350
Tampa, FL 33613
Phone (813) 739-7493

1413 Chattanooga Ave
Dalton, GA 30720
Phone (706) 279-2635

715 Queen City Pkwy
Ste 106
Gainesville, GA 30501
Phone (678) 450-1222

1940 Parker Ct
Ste B
Stone Mountain, GA 30087
Phone (706) 279-2635

2301 Indian Wells Rd
Ste A
Alamogordo, NM 88310
Phone (505) 434-0639

1717 Precinct Line Rd
Ste 200
Hurst, TX 76054
Phone (817) 369-3990

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1871551580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 CHATTANOOGA AVE",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202631",
            "telephone_number": "706-279-2635",
            "fax_number": "706-279-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 QUEEN CITY PKWY STE 106",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305014335",
            "telephone_number": "678-450-1222",
            "fax_number": "706-279-2679"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Riverview Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "23510",
            "country_code": "US",
            "telephone_number": "757-995-2436",
            "fax_number": "757-995-7789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMZA",
        "first_name": "MAGED",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101228976",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "VA",
            "license": "0101228976",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "GA",
            "license": "96749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.