AHMED FATHY MD
NPI 1194863563
Psychiatry & Neurology - Neurocritical Care in Gainesville, GA

Q: 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.

Q: What is Ahmed Fathy's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurocritical Care, with taxonomy code 2084A2900X.

Q: 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 12 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.

Active since February 01, 2007PECOS EnrolledAccepts Medicare Assignment

76.79/100

CMS Quality Rating

743 SPRING ST NE, GAINESVILLE, GA 30501(770) 219-2627 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 27, 2025, May 14, 2025, Mar 22, 2021 and 1 more (4 updates tracked since 2020).

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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

NPI1194863563

Entity TypeIndividualMale

Primary Taxonomy2084A2900X

Provider Legal NameAHMED FATHYCredential: MD

Location Address743 SPRING ST NEGainesville, GA 30501-3715

Mailing AddressPo Box 742616Atlanta, GA 30374-2616 · (770) 219-8420

Phone(770) 219-2627

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateFebruary 1, 2007

Last NPPES UpdateJuly 23, 20254 updates tracked since enumeration

NPPES CertifiedJuly 23, 2025

✔ NPI 1194863563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPsychiatry & Neurology · Neurocritical CareAllopathic & Osteopathic Physicians

Taxonomy Code2084A2900X

License✔ Licensed in GA · 104196

Definition

The medical subspecialty of Neurocritical Care is devoted to the comprehensive, multisystem care of the critically-ill neurological patient. Like other intensivists, the neurointensivist generally assumes the primary role for coordinating the care of his or her patients in the ICU, both the neurological and medical management of the patient. They may also provide consultative services for these patients as requested within the health system.

Also ListedInternal MedicineTaxonomy 207R00000X · License 35-120063 (OH), 036-113985 (IL)

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License C3884 (KY)

Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License 35-120063 (OH)

Also ListedHospitalistTaxonomy 208M00000X · License 35.120063 (OH)

743 SPRING ST NE, Gainesville, GA 30501

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Secondary Practice Location 1

Location 1375 Dixmyth AveCincinnati, OH 45220-2475 · Phone (513) 862-3452 · Fax (513) 862-3421

Other Identifiers 2

Medicaid2565399OH

Medicaid0072642OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Home State Health, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID8325056773

PECOS Enrollment IDI20241011002859, I20250530002160, I20250820000516

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.

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

197 services78 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

103 services62 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

76 services50 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

20 services16 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

20 services20 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

14 services14 patients

Hospital Affiliations CMS Care Compare 3

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, GA

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number110029

Location743 Spring StreetGainesville, GA 30501 · Hall County

Emergency services Birthing friendly

Wesley Medical Center

Acute Care Hospitals · Wichita, KS

5/5 CMS rating

OwnershipProprietary

CMS Certification Number170123

Location550 N Hillside StreetWichita, KS 67214 · Sedgwick County

Emergency services Birthing friendly

St Elizabeth Florence

Acute Care Hospitals · Florence, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180045

Location4900 Houston RoadFlorence, KY 41042 · Boone County

Emergency services

Medicare 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.

76.79/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

64.65

Promoting Interoperability

100

Improvement Activities

Cost

57.98

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%40 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DARRYL E BLALOCK CRNA

Nurse Anesthetist, Certified Registered