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NIZAR ALI TEJANI MD
NPI 1043311459
Internal Medicine in Stockbridge, GA

Active since September 26, 2006PECOS EnrolledAccepts Medicare Assignment
1004 HOSPITAL DRIVE, STOCKBRIDGE, GA 30281(770) 507-9929(770) 507-9930 Get Directions Write a Review

NPPES record last updated: August 27, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nizar Ali Tejani Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NIZAR ALI TEJANI MD (NPI 1043311459) is an individual internal medicine provider in Stockbridge, Georgia, licensed in Georgia (036302) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1985).

NPPES Registry Identity

NPI1043311459
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameNIZAR ALI TEJANICredential: MD
Location Address1004 HOSPITAL DRIVEStockbridge, GA 30281
Mailing Address1004 Hospital DriveStockbridge, GA 30281 · (770) 507-9929 · Fax (770) 507-9930
Phone(770) 507-9929
Fax(770) 507-9930
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateSeptember 26, 2006
Last NPPES UpdateAugust 27, 2012
✔ NPI 1043311459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 036302
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X · License 036302 (GA)
1004 HOSPITAL DRIVE, Stockbridge, GA 30281
Open in Google Maps ↗

Other Identifiers 3

Medicare PIN44ZCBKGGA
Medicaid000526666BGA
Medicare UPINF45813

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nizar Ali Tejani Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254244338
PECOS Enrollment IDI20031107000226
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Nizar Tejani reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nizar A. Tejani MD. PC
Same address
Infectious Disease
1004 HOSPITAL DR
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
NPI 1548444748 (770) 507-9929
Northeast Georgia Physicians Group Inc
60 mi
Family Medicine
743 SPRING ST NE
Gainesville, GA 30501
  • Reassigned Medicare billing, Georgia enrollment
  • 1,172 clinicians in this Medicare group
NPI 1891745212 (770) 219-9000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D0892861

Nizar A Tejani MD · Stockbridge, GA
Expired · Oct 6, 2026
CLIA Number11D0892861
Laboratory TypePhysician Office
Certificate Effective DateOctober 7, 2024
Certificate Expiration DateOctober 6, 2026
Laboratory DirectorNizar A. Tejani
Laboratory Phone(770) 507-9929
Laboratory LocationNizar A Tejani MD1004 Hospital Drive, Stockbridge, GA 30281
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
64 services29 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
37 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30281 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nizar Tejani's NPI number?

The NPI number for Nizar Tejani is 1043311459. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Nizar Tejani located?

Nizar Tejani practices at 1004 Hospital Drive, Stockbridge, GA 30281. The listed phone number is (770) 507-9929.

What is Nizar Tejani's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nizar Tejani enrolled in Medicare?

Yes. Nizar Tejani is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Nizar Tejani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nizar Tejani reassigns Medicare benefits to 2 organizations: Nizar A. Tejani MD. PC (Stockbridge, GA) and Northeast Georgia Physicians Group Inc (Gainesville, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nizar Tejani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nizar Tejani accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Nizar Tejani as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nizar Tejani was last updated on August 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.