Active NPI
Adem A Nasser, MD
- Hospitalist Physician
- Atlanta, GA
National Provider Identifier
1962542860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 060300
- Practice address
- 35 Collier Rd NW Ste 635
Atlanta, GA 30309-1611 - Phone
- (404) 367-3014
- Fax
- (404) 367-3558
- NPI assigned
- Feb 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 238119-1 | NY | |
| Internal Medicine Physician | 207R00000X | 060300 | GA | |
| Hospitalist Physician | 208M00000X | 060300 | GA | Primary |
Addresses
Primary practice location
35 Collier Rd NW Ste 635
Atlanta, GA 30309-1611
Mailing address
PO Box 102321
Atlanta, GA 30368-2321
Phone (404) 367-3014
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02714652 | Medicaid | NY | |
| 526546761A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 060300 | GA | MD | Internal Medicine Physician |
| 238119-1 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of Cortland County, PLLC | Internal Medicine | Past | Accepting new patients |
| Hospitalist Medicine Physicians of New York, PLLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Cortland, NY
- NPI 1609815521
Internal Medicine
-
- Emergency Medicine Physician
- Bronx, NY
- NPI 1205944329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269907200000",
"number": "1962542860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 102321",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303682321",
"telephone_number": "404-367-3014",
"fax_number": "404-367-3558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 COLLIER RD NW STE 635",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303091611",
"telephone_number": "404-367-3014",
"fax_number": "404-367-3558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASSER",
"first_name": "ADEM",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-08",
"last_updated": "2010-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "238119-1",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "060300",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "GA",
"license": "060300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02714652",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "526546761A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.