AHMED FATHY MD
NPI 1194863563
Psychiatry & Neurology - Neurocritical Care in Gainesville, GA
About Ahmed Fathy Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AHMED FATHY MD (NPI 1194863563) is an individual neurocritical care provider in Gainesville, Georgia, licensed in Georgia (104196) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and maintains a secondary practice location in Cincinnati.
NPPES Registry Identity
Specialties & Licenses 5
Secondary Practice Location 1
Other Identifiers 2
Accepted 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
Ahmed Fathy 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.
Medicare Billing Reassignments
11Medicare enrollment records show Ahmed Fathy reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gainesville, GA 30501
- Reassigned Medicare billing, Georgia enrollment
- 1,172 clinicians in this Medicare group
Highland Heights, KY 41076
- Reassigned Medicare billing, Kentucky enrollment
- 946 clinicians in this Medicare group
Cincinnati, OH 45220
- Reassigned Medicare billing, Ohio enrollment
- 1,102 clinicians in this Medicare group
Middletown, OH 45005
- Reassigned Medicare billing, Ohio enrollment
- 812 clinicians in this Medicare group
Columbus, OH 43213
- Reassigned Medicare billing, Ohio enrollment
- 776 clinicians in this Medicare group
Lima, OH 45804
- Reassigned Medicare billing, Ohio enrollment
- 84 clinicians in this Medicare group
Canton, OH 44708
- Reassigned Medicare billing, Ohio enrollment
- 456 clinicians in this Medicare group
Ashtabula, OH 44004
- Reassigned Medicare billing, Ohio enrollment
- 272 clinicians in this Medicare group
Chicago, IL 60634
- Reassigned Medicare billing, Illinois enrollment
- 174 clinicians in this Medicare group
Aventura, FL 33180
- Reassigned Medicare billing, Florida enrollment
- 287 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 6
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northeast Georgia Medical Center, Inc
Acute Care Hospitals · Gainesville, GANortheast Georgia Medical Center Habersham
Acute Care Hospitals · Demorest, GAWesley Medical Center
Acute Care Hospitals · Wichita, KSSt Elizabeth Florence
Acute Care Hospitals · Florence, KYMedicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
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.
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 Ahmed Fathy's NPI number?
The NPI number for Ahmed Fathy is 1194863563. It was assigned to this individual provider in the NPPES registry on February 1, 2007.
Where is Ahmed Fathy located?
Ahmed Fathy practices at 743 Spring St NE, Gainesville, GA 30501. The listed phone number is (770) 219-2627.
What is Ahmed Fathy's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurocritical Care, with taxonomy code 2084A2900X.
Is Ahmed Fathy enrolled in Medicare?
Yes. Ahmed Fathy 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 Ahmed Fathy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ahmed Fathy reassigns Medicare benefits to 11 organizations: Northeast Georgia Physicians Group Inc (Gainesville, GA), Summit Medical Group, Inc. (Highland Heights, KY), Trihealth H LLC (Cincinnati, OH), Premier Health Specialists Inc (Middletown, OH), Hospitalist Medicine Physicians Of Ohio, Professional Corporation (Columbus, OH) and 6 more organizations, listed in the Medicare section above. 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 Ahmed Fathy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ahmed Fathy accept?
Health plans from Alliant Health Plans, Inc., Blue Cross and Blue Shield of Kansas, Inc., CareSource, Molina Healthcare and Oscar Health Maintenance Organization of Florida list Ahmed Fathy 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.
Is Ahmed Fathy affiliated with any hospitals?
According to CMS data, Ahmed Fathy is affiliated with Northeast Georgia Medical Center, Inc, Northeast Georgia Medical Center Habersham, Wesley Medical Center and St Elizabeth Florence.
When was this NPI record last updated?
The NPPES record for Ahmed Fathy was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.
# Ahmed Fathy, MD · NPI 1194863563
Neurocritical Care physician in Gainesville, Georgia. Individual provider, active in the CMS NPPES registry since February 1, 2007.
## Identity
- **NPI:** 1194863563 (Entity type: Individual)
- **Enumerated:** February 1, 2007
- **Primary specialty:** Psychiatry & Neurology - Neurocritical Care · taxonomy 2084A2900X
- **State license:** 104196 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 743 SPRING ST NE, Gainesville, GA 30501-3715
- **Phone:** (770) 219-2627
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 11 organizations under Medicare reassignment (form CMS-855R): Northeast Georgia Physicians Group Inc (NPI 1891745212, Gainesville, GA); Summit Medical Group, Inc. (NPI 1881026169, Highland Heights, KY); Trihealth H LLC (NPI 1659783793, Cincinnati, OH); Premier Health Specialists Inc (NPI 1831466986, Middletown, OH); Hospitalist Medicine Physicians Of Ohio, Professional Corporation (NPI 1043572290, Columbus, OH); and 6 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1995
## Record status
- **NPPES last updated:** July 23, 2025
- **Other identifiers:** Medicaid 2565399 (OH); Medicaid 0072642 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1194863563) · Data from the CMS NPPES public registry.