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DR. TORAL M FADIA M.D.
NPI 1689874299
Psychiatry & Neurology - Psychiatry in Atlanta, GA

Active since July 21, 2007PECOS EnrolledAccepts Medicare Assignment
98.31/100
CMS Quality Rating
1000 JOHNSON FERRY RD, ATLANTA, GA 30342(404) 851-8000(404) 851-6325 Get Directions Write a Review

NPPES record last updated: December 19, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Toral M Fadia M.d. NPPES

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

DR. TORAL M FADIA M.D. (NPI 1689874299) is an individual psychiatry provider in Atlanta, Georgia, licensed in Georgia (061424) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1689874299
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. TORAL M FADIACredential: M.D.
Location Address1000 JOHNSON FERRY RDAtlanta, GA 30342-1606
Mailing Address1000 Johnson Ferry RdAtlanta, GA 30342-1606 · (404) 851-8000 · Fax (404) 851-6325
Phone(404) 851-8000
Fax(404) 851-6325
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateJuly 21, 2007
Last NPPES UpdateDecember 19, 2016
✔ NPI 1689874299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in GA · 061424✔ Licensed in NC · 2005-01026
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1000 JOHNSON FERRY RD, Atlanta, GA 30342
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Other Identifiers 3

Medicare PIN202I266733GA
Medicaid350264783BGA
Medicaid5902043NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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

Dr. Toral M Fadia M.d. 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 ID9133152283
PECOS Enrollment IDI20091019000125
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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
38 services20 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
14 services12 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
13 services11 patients

Hospital Affiliations CMS Care Compare

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

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30342 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
$172.43 typical visit price
range $56.84 – $172.43
Typical copayment $43.10 (range $14.21 – $43.10)
Most-billed visit code 99205
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
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.

98.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.88
Improvement Activities40
Cost84.56

Reported Quality Measures

Elder Maltreatment Screen and Follow-Up Plan
Percentage of patients aged 65 years and older with a documented elder maltreatment screen using an Elder Maltreatment Screening Tool on the date of encounter AND a documented follow-up plan on the date of the positive screen
100%23 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
94%62 patients4/55-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.

SHELLEY S STATON PAAA
Anesthesiologist Assistant
1000 JOHNSON FERRY RD
ATLANTA, GA 30342
Fulton County (770) 645-9181
TYREL FOSTER MD
Nuclear Medicine
1000 JOHNSON FERRY RD
ATLANTA, GA 30342
Fulton County (404) 851-6323
KEVIN DAVIS
Anesthesiologist Assistant
1000 JOHNSON FERRY RD
ATLANTA, GA 30342
Fulton County (404) 851-8000
NICK TAHER M.D.
Hospitalist
1000 JOHNSON FERRY RD
ATLANTA, GA 30342
Fulton County (404) 851-8000
NORTHSIDE RADIOLOGY ASSOCIATES LLC
Radiology (Diagnostic Radiology)
1000 JOHNSON FERRY RD
ATLANTA, GA 30342
Fulton County (404) 662-2438
TAYEB AHMAD RAHIM
Radiology (Neuroradiology)
1000 JOHNSON FERRY RD
ATLANTA, GA 30342
Fulton County (678) 553-7784
KATHRYN LYNN DEAN NP
Nurse Practitioner
1000 JOHNSON FERRY RD
SANDY SPRINGS, GA 30342
Fulton County (404) 851-6500
VICKI DO
Anesthesiologist Assistant
1000 JOHNSON FERRY RD
ATLANTA, GA 30342
Fulton County (770) 530-6646

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 Toral Fadia's NPI number?

The NPI number for Toral Fadia is 1689874299. It was assigned to this individual provider in the NPPES registry on July 21, 2007.

Where is Toral Fadia located?

Toral Fadia practices at 1000 Johnson Ferry Rd, Atlanta, GA 30342. The listed phone number is (404) 851-8000.

What is Toral Fadia's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Toral Fadia enrolled in Medicare?

Yes. Toral Fadia 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 Toral Fadia accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Toral Fadia 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 Toral Fadia affiliated with any hospitals?

According to CMS data, Toral Fadia is affiliated with Northside Hospital.

When was this NPI record last updated?

The NPPES record for Toral Fadia was last updated on December 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.