Individual provider Active NPI

Tariq Javed, M.D.

  • Neurological Surgery Physician
  • Marietta, GA
National Provider Identifier
1871579235
Registry record updated Aug 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
34376 Issued in GA
Practice address
631 Campbell Hill St NW
100
Marietta, GA 30060
Phone
(770) 422-0444
Fax
(770) 422-4412
NPI assigned
Dec 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 34376 GA Primary

Addresses

Primary practice location

631 Campbell Hill St NW
100
Marietta, GA 30060

Mailing address

631 Campbell Hill St NW
100
Marietta, GA 30060-1301
Phone (770) 422-0444

Other identifiers 1

IdentifierTypeStateIssuer
00470148BMedicaidGA

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040413000964 GA Practitioner - Neurosurgery 6901890052 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northside Surgical Professional Services LLCGroup PAC ID 8628253424, 367 clinicians

Practice addresses (Care Compare)

1000 Johnson Ferry NE
Atlanta, GA 30342-1606

1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606
Phone (404) 851-8000

450 Northside Cherokee Blvd
Canton, GA 30115-8015
Phone (770) 224-1000

631 Campbell Hill St NW
Suite 100
Marietta, GA 30060-1390
Phone (770) 422-0444

Hospital & facility affiliations

  • Amedisys Northwest Home Health Home health agency, Jasper, GA, CCN 117064
  • Northside Hospital Cherokee Hospital, Canton, GA, CCN 110008
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161
  • Union General Hospital Hospital, Blairsville, GA, CCN 110051
  • Wellstar Kennestone Regional Medical Center Hospital, Marietta, GA, CCN 110035
  • Chatuge Regional Hospital Hospital, Hiawassee, GA, CCN 111324
  • Wellstar Windy Hill Hospital Long-term care hospital, Marietta, GA, CCN 112007

Merit-based Incentive Payment System (MIPS)

Final score
74.67 of 100Reported as individual
Quality
65.94
Promoting interoperability
78
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion129
Laminectomy or laminotomy (partial removal of spine bones)82

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34376GAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Surgical Professional Services LLC CurrentSince Aug 8, 2018 Accepting new patients
SNS Medical Equipment LLC Current Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

470 Northside Cherokee Blvd
Ste 375
Canton, GA 30115
Phone (770) 422-0444

677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435

631 Campbell Hill St NW
Ste 100
Marietta, GA 30060
Phone (770) 422-0444

631 Campbell Hill St NW
Marietta, GA 30060

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

Interoperability endpoints

  • Direct secure messaging: tariqjaved@nhitjmd.allscriptsdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533513600000",
    "number": "1871579235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 CAMPBELL HILL ST NW",
            "address_2": "100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601301",
            "telephone_number": "770-422-0444",
            "fax_number": "770-422-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 CAMPBELL HILL ST NW",
            "address_2": "100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30060",
            "telephone_number": "770-422-0444",
            "fax_number": "770-422-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAVED",
        "first_name": "TARIQ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2018-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "GA",
            "license": "34376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00470148B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.