FAWWAD ALAM ANSARI M.D.
NPI 1144962788
Student in an Organized Health Care Education/Training Program in Athens, GA

Active since April 13, 2022PECOS Enrolled
1270 PRINCE AVE, SUITE 201, ATHENS, GA 30606(706) 475-7055 Get Directions Write a Review

NPPES record last updated: October 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 7, 2022, Apr 18, 2022, Apr 13, 2022 (3 updates tracked since 2022).

About Fawwad Alam Ansari M.d. NPPES

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

FAWWAD ALAM ANSARI M.D. (NPI 1144962788) is an individual student in an organized health care education/training program in Athens, Georgia and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144962788
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameFAWWAD ALAM ANSARICredential: M.D.
Location Address1270 PRINCE AVE, SUITE 201Athens, GA 30606
Mailing Address1330 Page Dr S Ste 101Fargo, ND 58103-3551 · (701) 526-4898 · Fax (701) 205-4734
Sole ProprietorNo
Enumeration DateApril 13, 2022
Last NPPES UpdateOctober 7, 20223 updates tracked since enumeration
NPPES CertifiedOctober 7, 2022
NPI 1144962788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1270 PRINCE AVE, Athens, GA 30606

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Fawwad Alam Ansari M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1270 PRINCE AVE, SUITE 201
ATHENS, GA 30606
Obstetrics & Gynecology (Gynecology)
1270 PRINCE AVE, SUITE 201
ATHENS, GA 30606
Nurse Practitioner (Primary Care)
1270 PRINCE AVE
ATHENS, GA 30606
Student in an Organized Health Care Education/Training Program
1270 PRINCE AVE, SUITE 102
ATHENS, GA 30606
Nurse Practitioner (Family)
1270 PRINCE AVE
ATHENS, GA 30606
Obstetrics & Gynecology (Gynecology)
1270 PRINCE AVE, SUITE 201
ATHENS, GA 30606
Student in an Organized Health Care Education/Training Program
1270 PRINCE AVE, SUITE 201
ATHENS, GA 30606
Specialist
1270 PRINCE AVE, SUITE 102
ATHENS, GA 30606

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 Fawwad Ansari's NPI number?

The NPI number for Fawwad Ansari is 1144962788. It was assigned to this individual provider in the NPPES registry on April 13, 2022.

Where is Fawwad Ansari located?

Fawwad Ansari practices at 1270 Prince Ave Suite 201, Athens, GA 30606. The listed phone number is (706) 475-7055.

What is Fawwad Ansari's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Fawwad Ansari enrolled in Medicare?

Yes. Fawwad Ansari is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Fawwad Ansari was last updated on October 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.