Individual provider Active NPI

Ghulam Ilyas, M.D

  • Anatomic Pathology & Clinical Pathology Physician
  • Johns Creek, GA
National Provider Identifier
1972966265
Registry record updated Jun 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
88046 Issued in GA
Practice address
6325 Hospital Pkwy
Johns Creek, GA 30097-5775
Phone
(516) 312-9848
NPI assigned
Apr 4, 2016
Last updated
Jun 27, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 036151147 IL
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 88046 GA Primary

Addresses

Primary practice location

6325 Hospital Pkwy
Johns Creek, GA 30097-5775

Mailing address

6325 Hospital Pkwy
Johns Creek, GA 30097-5775
Phone (678) 474-7000

Other practice location 1

SUNY 450 Clarkson Avenue
Brooklyn, NY 11203
Phone (516) 312-9848

Other practice location 2

5841 S Maryland Ave # Mc3083
Chicago, IL 60637-1443
Phone (773) 834-2555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210614002606 GA Practitioner - Pathology 2163843210 Reassigns benefits to 2 organizations
I20241011001190 TX Practitioner - Pathology 2163843210 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curative Digestive Disease CenterGroup PAC ID 0648641597, 4 clinicians
The Emory Clinic IncGroup PAC ID 8820901408, 3,507 clinicians
Chestatee Pathology Associates, PCGroup PAC ID 0840260097, 6 clinicians

Practice addresses (Care Compare)

1213 Hermann Dr
Suite 360
Houston, TX 77004-7018
Phone (713) 393-7744

1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-7525

2242 Northwest Pkwy SE
Suite A2
Marietta, GA 30067-9302
Phone (770) 384-0284

902 Preskitt Rd
Suite 300
Decatur, TX 76234-4124
Phone (940) 626-1864

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Gastroenterology Associates, PA CurrentSince Mar 1, 2025 Accepting new patients
Alpha Gi Pathology PLLC CurrentSince Aug 18, 2025 Accepting new patients
The Emory Clinic Inc CurrentSince Jul 1, 2021 Accepting new patients
Chestatee Pathology Associates, PC Anatomic Pathology & Clinical Pathology CurrentSince Sep 20, 2023 Accepting new patients
Colon Liver Gastro Consultants PLLC CurrentSince May 1, 2025 Accepting new patients
Curative Digestive Disease Center Anatomic Pathology & Clinical Pathology CurrentSince Oct 1, 2024 Accepting new patients
Accupath Lab LLC PastSince Jun 21, 2022 Accepting new patients
Noble Anesthesia Partners, PLLC Past Accepting new patients

Locations

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

101 W Ponce de Leon Ave
Decatur, GA 30030
Phone (404) 778-4889

428 Winn Ct
Decatur, GA 30030
Phone (404) 292-3727

2242 Northwest Pkwy SE
Ste A2
Marietta, GA 30067
Phone (770) 384-0284

5700 Southwyck Blvd
Toledo, OH 43614

609 Medical Center Dr
Ste 2600
Decatur, TX 76234
Phone (940) 626-1864

902 Preskitt Rd
Ste 300
Decatur, TX 76234
Phone (940) 626-1864

3412 N Tarrant Pkwy
Ste 520
Fort Worth, TX 76177
Phone (940) 626-1848

1213 Hermann Dr
Ste 360
Houston, TX 77004
Phone (346) 299-5840

1315 St Joseph Pkwy
Ste 1210
Houston, TX 77002
Phone (713) 393-7744

7919 Kirby Dr
Houston, TX 77054
Phone (713) 393-7744

16651 Southwest Fwy
Ste 370
Sugar Land, TX 77479
Phone (281) 565-1009

Interoperability endpoints

  • Direct secure messaging: gilyas68207@direct.emory.org
  • FHIR API: https://api.platform.athenahealth.com/4377/brand/1/csg/1/fhir/r4

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624752000000",
    "number": "1972966265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6325 HOSPITAL PKWY",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300975775",
            "telephone_number": "678-474-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6325 HOSPITAL PKWY",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300975775",
            "telephone_number": "516-312-9848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "SUNY 450 Clarkson Avenue",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11203",
            "country_code": "US",
            "telephone_number": "516-312-9848",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5841 S Maryland Ave # Mc3083",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606371443",
            "country_code": "US",
            "telephone_number": "773-834-2555",
            "fax_number": "773-702-1119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ILYAS",
        "first_name": "GHULAM",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-04",
        "last_updated": "2021-06-27",
        "certification_date": "2021-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IL",
            "license": "036151147",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "GA",
            "license": "88046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Creek, GA

Sources for this page

Verify at the official NPI Registry.