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NASIRA HUSSAIN MD
NPI 1356578074
Hospitalist in Douglasville, GA

Active since June 20, 2009PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
8954 HOSPITAL DRIVE, DOUGLASVILLE, GA 30134(678) 838-2585 Get Directions Write a Review

NPPES record last updated: October 10, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 10, 2019, Feb 26, 2016 (2 updates tracked since 2016).

About Nasira Hussain Md NPPES

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

NASIRA HUSSAIN MD (NPI 1356578074) is an individual hospitalist provider in Douglasville, Georgia, licensed in Georgia (067474) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, is affiliated with Wellstar Cobb Medical Center, and maintains a secondary practice location in Jonesboro.

NPPES Registry Identity

NPI1356578074
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameNASIRA HUSSAINCredential: MD
Location Address8954 HOSPITAL DRIVEDouglasville, GA 30134
Mailing Address8954 Hospital DriveDouglasville, GA 30134 · (678) 838-2585
Phone(678) 838-2585
Sole ProprietorNo
Medical School CMSMercer University School Of MedicineGraduated 2009
Enumeration DateJune 20, 2009
Last NPPES UpdateOctober 10, 20192 updates tracked since enumeration
✔ NPI 1356578074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in GA · 067474
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 067474 (GA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
8954 HOSPITAL DRIVE, Douglasville, GA 30134
Open in Google Maps ↗

Secondary Practice Location 1

Location 12400 Mt. Zion Parkway, Kaiser Permanente Southwood Medical CenterJonesboro, GA 30236 · Phone (770) 603-3606

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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

Nasira Hussain 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 ID2668620089
PECOS Enrollment IDI20120910000478
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 4

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.

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.
390 services151 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.
113 services106 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.
48 services47 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.
25 services15 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellstar Cobb Medical Center

Acute Care Hospitals · Austell, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110143
Location3950 Austell RdAustell, GA 30106 · Cobb County
Birthing friendly

Wellstar Douglas Medical Center

Acute Care Hospitals · Douglasville, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110184
Location8954 Hospital DriveDouglasville, GA 30134 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30134 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.

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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier20 claims20 services$42.55 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers33 claims33 services$57.25 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers27 claims27 services$28.15 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier16 claims16 services$16.14 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

BEENISH FATIMA ZIA M.D.
Student in an Organized Health Care Education/Training Program
8954 HOSPITAL DRIVE
DOUGLASVILLE, GA 30134
Douglas County (470) 644-6000
JI HOON KANG
Student in an Organized Health Care Education/Training Program
8954 HOSPITAL DRIVE, FAMILY MEDICINE RESIDENCY PROGRAM
DOUGLASVILLE, GA 30134
Douglas County (470) 644-6000
KATHRYN WARD NORTON DNP, AGACNP, ACNS
Nurse Practitioner (Acute Care)
8954 HOSPITAL DRIVE
DOUGLASVILLE, GA 30134
Douglas County (770) 949-1500
TAMARA LYNN MARSHALL P.A.A.A.
Anesthesiologist Assistant
8954 HOSPITAL DRIVE
DOUGLASVILLE, GA 30134
Douglas County (770) 920-6413

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 Nasira Hussain's NPI number?

The NPI number for Nasira Hussain is 1356578074. It was assigned to this individual provider in the NPPES registry on June 20, 2009.

Where is Nasira Hussain located?

Nasira Hussain practices at 8954 Hospital Drive, Douglasville, GA 30134. The listed phone number is (678) 838-2585.

What is Nasira Hussain's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Nasira Hussain enrolled in Medicare?

Yes. Nasira Hussain 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.

What insurance does Nasira Hussain accept?

Health plans from Alliant Health Plans, Inc. list Nasira Hussain 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 Nasira Hussain affiliated with any hospitals?

According to CMS data, Nasira Hussain is affiliated with Wellstar Cobb Medical Center and Wellstar Douglas Medical Center.

When was this NPI record last updated?

The NPPES record for Nasira Hussain was last updated on October 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.