JAD ELKHALIL
NPI 1154025211
Student in an Organized Health Care Education/Training Program in Suwanee, GA

Active since March 30, 2023PECOS Enrolled
625 OLD PEACHTREE RD NW, SUWANEE, GA 30024(678) 225-7500 Get Directions Write a Review

NPPES record last updated: March 30, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jad Elkhalil NPPES

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

JAD ELKHALIL (NPI 1154025211) is an individual student in an organized health care education/training program in Suwanee, Georgia and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154025211
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJAD ELKHALIL
Location Address625 OLD PEACHTREE RD NWSuwanee, GA 30024-2937
Mailing Address804 Oak Trail DrMarietta, GA 30062-7502 · (678) 313-8645
Sole ProprietorYes
Enumeration DateMarch 30, 2023
NPPES CertifiedMarch 30, 2023
NPI 1154025211 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.

625 OLD PEACHTREE RD NW, Suwanee, GA 30024

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jad Elkhalil 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.

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
625 OLD PEACHTREE RD NW
SUWANEE, GA 30024
Pharmacist
625 OLD PEACHTREE RD NW
SUWANEE, GA 30024
Pharmacist
625 OLD PEACHTREE RD NW
SUWANEE, GA 30024
Neuromusculoskeletal Medicine & OMM
625 OLD PEACHTREE RD NW, SUITE 104
SUWANEE, GA 30024
Family Medicine
625 OLD PEACHTREE RD NW, SUITE 104
SUWANEE, GA 30024
Physician Assistant
625 OLD PEACHTREE RD NW
SUWANEE, GA 30024
Neuromusculoskeletal Medicine & OMM
625 OLD PEACHTREE RD NW
SUWANEE, GA 30024
Pharmacist (Pharmacotherapy)
625 OLD PEACHTREE RD NW
SUWANEE, GA 30024

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154025211, enumerated as an "individual" on March 30, 2023.

The provider is located at 625 OLD PEACHTREE RD NW SUWANEE, GA 30024 and the phone number is (678) 225-7500.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.