NPIMap

Individual provider Active NPI

Fatima Dalwai, MD

  • Family Medicine Physician
  • Newnan, GA
National Provider Identifier
1912015769
Registry record updated Mar 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
058861 Issued in GA
Practice address
2700 Highway 34 E
BLDG 300
Newnan, GA 30265-2315
Phone
(770) 304-0987
Fax
(770) 251-0938
NPI assigned
Aug 29, 2006
Last updated
Mar 4, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 058861 GA Primary

Addresses

Primary practice location

2700 Highway 34 E
BLDG 300
Newnan, GA 30265-2315

Mailing address

2700 Highway 34 E
BLDG 300
Newnan, GA 30265-2315
Phone (770) 304-0987

Other identifiers 1

IdentifierTypeStateIssuer
532358862BMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070725000535 GA Practitioner - Family Practice 8820017130 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Piedmont Medical Care CorporationGroup PAC ID 6002802220, 368 clinicians

Practice addresses (Care Compare)

105 Collier Rd NW
Suite 5020
Atlanta, GA 30309-1731
Phone (404) 367-3210

110 Oak Hill Blvd
Suite 200
Newnan, GA 30265-2313
Phone (770) 304-0987

2401 Newnan Crossing Blvd E
Suite 200
Newnan, GA 30265-2402
Phone (770) 254-6131

2401 Newnan Crossing Bypass
Suite 110
Newnan, GA 30265-2402
Phone (770) 254-6131

9 Arbor Springs Ter
Suite 500
Newnan, GA 30265-4214
Phone (770) 400-7270

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
058861GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Medical Care Corporation Family Medicine CurrentSince Mar 16, 2009 Accepting new patients
Piedmont Providers LLC Past Accepting new patients

Locations

105 Collier Rd NW
Ste 2070
Atlanta, GA 30309
Phone (404) 350-3860

105 Collier Rd NW
Ste 5020
Atlanta, GA 30309
Phone (404) 350-3860

2700 Highway 34 E
Ste 300
Newnan, GA 30265
Phone (678) 423-7700

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.

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299196800000",
    "number": "1912015769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 HIGHWAY 34 E",
            "address_2": "BLDG 300",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652315",
            "telephone_number": "770-304-0987",
            "fax_number": "770-251-0938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 HIGHWAY 34 E",
            "address_2": "BLDG 300",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652315",
            "telephone_number": "770-304-0987",
            "fax_number": "770-251-0938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALWAI",
        "first_name": "FATIMA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2011-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "058861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "532358862B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

Verify at the official NPI Registry.