Nisar Medical Center, Inc.

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

042375 Issued in GA

Legal business name

NISAR MEDICAL CENTER, INC.

Practice address

1407 Chattanooga Ave
Suite B
Dalton, GA 30720-2631

Phone

(706) 279-1757

Fax

(706) 279-1758

NPI assigned

May 29, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Azhar Nisar, M.D.NPI 1437105046

Title

Physician

Phone

(706) 279-1757

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• nisar medical center, inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Azhar Nisar, MD

  • Internal Medicine Physician
  • Dalton, GA
  • NPI 1437105046
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1912165671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 CHATTANOOGA AVE",
            "address_2": "SUITE B",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202631",
            "telephone_number": "706-279-1757",
            "fax_number": "706-279-1758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 CHATTANOOGA AVE",
            "address_2": "SUITE B",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202631",
            "telephone_number": "706-279-1757",
            "fax_number": "706-279-1758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NISAR MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "NISAR",
        "authorized_official_first_name": "AZHAR",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "706-279-1757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "GA",
            "license": "042375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000728494C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "nisar medical center, inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Frank David Newby, M.D., PH. D
• Taylor Newsom, PA-C
• Dinh Nguyen
• Carol S Nichols, NP
• Shane Nichols, BCBA
• Azhar Nisar, MD
• Samreen Nishat
• Kelli Lynn Noble, MSN, NP-C
• Reiko Noll, PA-C
• Shaheen P Noorani, M.D

• Legal Medicine in Dalton, GA
• Providers in Dalton, GA by specialty
• Legal Medicine in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.