Individual provider Active NPI

Nazir Ahmad Khawaja, M.D.

  • Ophthalmology Physician
  • Covington, GA
National Provider Identifier
1952349334
Registry record updated Nov 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
025778 Issued in GA
Practice address
4124 Highway 278 NE
Covington, GA 30014-2494
Phone
(770) 784-1172
NPI assigned
Jun 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 025778 GA Primary

Addresses

Primary practice location

4124 Highway 278 NE
Covington, GA 30014-2494

Mailing address

4124 Highway 278 NE
Covington, GA 30014-2494
Phone (770) 784-1172

Other identifiers 1

IdentifierTypeStateIssuer
000282499VMedicaidGA

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
I20031113000611 GA Practitioner - OphthalmologyPractitioner - Emergency Medicine 4587578620 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Ophthalmologists LLCGroup PAC ID 6406026186, 4 clinicians

Practice addresses (Care Compare)

4159 Mill St NE
Covington, GA 30014-2546
Phone (770) 786-1234

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eagle Eye and Medical Clinic Inc Ophthalmology CurrentSince Jan 1, 2003 Accepting new patients
Georgia Ophthalmologists LLC Ophthalmology CurrentSince Jan 1, 2026 Accepting new patients
The Hospital Authority of Monroe County, Georgia Past Accepting new patients
Acs Primary Care Physicians - Southeast PC Past Accepting new patients
M. Michael Pulliam, M.D., P.C. Past Accepting new patients
Tenet Healthsystem SGH, Inc. Past Accepting new patients
Covington Hearing Associates, LLC PastSince Dec 23, 2017 Accepting new patients
Newton Rockdale Ambulatory Surgery Center Past Accepting new patients
Apollomd Group Services, LLC Past Accepting new patients
United Emergency Services, Inc. Past Accepting new patients

Locations

4124 Highway 278 NE
Covington, GA 30014
Phone (770) 784-1172

4159 Mill St NE
Covington, GA 30014
Phone (770) 786-1234

3138B Highway 278 NW
Covington, GA 30014
Phone (770) 784-1172

860 W 3rd St
Jackson, GA 30233
Phone (770) 775-1234

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447286400000",
    "number": "1952349334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4124 HIGHWAY 278 NE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142494",
            "telephone_number": "770-784-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4124 HIGHWAY 278 NE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142494",
            "telephone_number": "770-784-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAWAJA",
        "first_name": "NAZIR",
        "middle_name": "AHMAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2015-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "025778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000282499V",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, GA

Sources for this page

Verify at the official NPI Registry.