Organization Active NPI

Saira Tariq Niaz MD PC

Doing business as Hillandale Primary Care

  • Primary Care Clinic/Center
  • Lithonia, GA
National Provider Identifier
1912144155
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
SAIRA TARIQ NIAZ MD PC
Doing business as
Hillandale Primary Care
Practice address
2523 Panola Rd
Lithonia, GA 30058-4831
Phone
(770) 322-9660
Fax
(770) 322-1981
NPI assigned
Jan 9, 2009
Last updated
Aug 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Authorized official

Name
Asia Tucker
Title
Practice Administrator
Phone
(770) 322-9660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2523 Panola Rd
Lithonia, GA 30058-4831

Mailing address

2523 Panola Rd
Lithonia, GA 30058-4831
Phone (770) 322-9660

Other practice location 1

1950 Riverside Pkwy Ste 100
Lawrenceville, GA 30043-5918
Phone (770) 322-9660

Other names 1

  • Hillandale Primary Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090709000042 GA Part B Supplier - Clinic/Group Practice 1254483084 Receives reassigned benefits from 1 practitioner
Practice locations: Lithonia, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2278434Hillandale Primary Care2523 Panola Road, Lithonia, GA 30058Certificate of waiverMar 16, 2027

National Provider Directory

National Provider Directory
Tax ID family
Hillandale Primary Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2523 Panola Rd
Lithonia, GA 30058
Phone (770) 322-9660

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1231459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786579200000",
    "number": "1912144155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2523 PANOLA RD",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300584831",
            "telephone_number": "770-322-9660",
            "fax_number": "770-322-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2523 PANOLA RD",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300584831",
            "telephone_number": "770-322-9660",
            "fax_number": "770-322-1981"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1950 Riverside Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300435918",
            "country_code": "US",
            "telephone_number": "770-322-9660",
            "fax_number": "770-322-1981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAIRA TARIQ NIAZ MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-09",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "ASIA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "770-322-9660"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hillandale Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lithonia, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.