Ahmad Charkawi, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

061566 Issued in GA

Practice address

6300 Hospital Parkway
Suite 100
Johns Creek, GA 30097

Phone

(770) 771-6591

Fax

(770) 771-6599

NPI assigned

Jul 12, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Zack Charkawi Other name

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

Specialty

Family PracticeAlso: Emergency Medicine

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Johns Creek Dermatology and Family Medicine, P.C.Group PAC ID 2668521048, 3 clinicians

Springs Dermatology, LLCGroup PAC ID 0749759462, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DGBGAA

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.

• Johns Creek Dermatology and Family Medicine, P.C.

  • Dermatology Physician
  • Johns Creek, GA
  • NPI 1053565580

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Gwinnett Emergency Specialists, LLC

  • Emergency Medicine Physician
  • Lawrenceville, GA
  • NPI 1437346467
  Medicare reassignment NPD
• Springs Dermatology, LLC

  • Dermatopathology Physician
  • Sandy Springs, GA
  • NPI 1679158885

  Family Medicine

  Care Compare group NPD
• North Georgia Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Ellijay, GA
  • NPI 1336172923
  NPD (past)
• The Smoking Cessation & Weight Reduction Clinic

  • Durable Medical Equipment & Medical Supplies
  • Florence, KY
  • NPI 1083623813
  NPD (past)

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388448000000",
    "number": "1982602074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 HOSPITAL PARKWAY, SUITE 100",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "30097",
            "telephone_number": "770-771-6591",
            "fax_number": "770-771-6599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 HOSPITAL PARKWAY",
            "address_2": "SUITE 100",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "30097",
            "telephone_number": "770-771-6591",
            "fax_number": "770-771-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARKAWI",
        "first_name": "AHMAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2013-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "38121",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "061566",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "GA",
            "license": "061566",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000300578",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64074909",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHOICE CARE",
            "identifier": "K38121",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZACK",
            "last_name": "CHARKAWI",
            "credential": "MD FACGS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Centrix Homecare LLC
• Alexandria Cerione
• Sukit Chaiyachati, M.D.
• Supriya Pravin Chakre
• Nandita Chandran, DMD
• Charles H Dodge DMD PC
• Abrar T Chaudhry, M.D.
• Alisa Chauhan, DO
• Chen Eye Center Johns Creek
• Shen Chen

• Family Medicine Physician in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.