Ghazala Khalid, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

046607 Issued in GA

Practice address

7138 Highway 212 Ste C
Covington, GA 30016-8047

Phone

(770) 788-1554

Fax

(678) 750-1406

NPI assigned

Jul 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Conyers Pediatrics, PC

  • Pediatrics Physician
  • Conyers, GA
  • NPI 1831217157
  NPD (past)

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1922012269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1277 WELLBROOK CIR NE STE B",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123973",
            "telephone_number": "770-922-5745",
            "fax_number": "678-750-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7138 HIGHWAY 212 STE C",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300168047",
            "telephone_number": "770-788-1554",
            "fax_number": "678-750-1406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1277 Wellbrook Cir NE Ste B",
            "address_purpose": "LOCATION",
            "city": "Conyers",
            "state": "GA",
            "postal_code": "300123973",
            "country_code": "US",
            "telephone_number": "770-922-5745",
            "fax_number": "678-750-1706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHALID",
        "first_name": "GHAZALA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-29",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "046607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000827747D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000827747A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• JSK RX LLC
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• Steven D Kenny
• KFD Heart 2 Home LLC
• Nazir Ahmad Khawaja, M.D.
• Andrew Kilday, MD
• Kimpam, Inc. Dba. the Medicine Shoppe
• Kindly Companions LLC
• Shelby Boggus King, PA-C

• Pediatrics Physician in Covington, GA
• Providers in Covington, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.