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THET NAING ZAW M.D.
NPI 1750690277
Internal Medicine - Nephrology in Douglas, GA

Active since October 01, 2010PECOS EnrolledAccepts Medicare Assignment
2012 OCILLA RD, DOUGLAS, GA 31533(912) 384-7210(912) 384-5130 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 1, 2025, Feb 8, 2020, Oct 1, 2018 (3 updates tracked since 2018).

About Thet Naing Zaw M.d. NPPES

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

THET NAING ZAW M.D. (NPI 1750690277) is an individual nephrology provider in Douglas, Georgia, licensed in Georgia (072948) and active in the NPI registry since October 2010. He is enrolled in Medicare PECOS, is affiliated with Dorminy Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1750690277
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameTHET NAING ZAWCredential: M.D.
Location Address2012 OCILLA RDDouglas, GA 31533-2230
Mailing Address2012 Ocilla RdDouglas, GA 31533-2230 · (912) 384-7210 · Fax (912) 384-5130
Phone(912) 384-7210
Fax(912) 384-5130
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateOctober 1, 2010
Last NPPES UpdateJuly 1, 20253 updates tracked since enumeration
NPPES CertifiedJuly 1, 2025
✔ NPI 1750690277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in GA · 072948
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
2012 OCILLA RD, Douglas, GA 31533
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1624 Love AveTifton, GA 31794-4406 · Phone (912) 384-7210
Location 2101 W Northside Dr Bldg EValdosta, GA 31602-1752 · Phone (912) 384-7210
Location 3655 7th StRobins AFB, GA 31098-2227 · Phone (478) 327-7850
Location 4194 Perry House Road, Suite AFitzgerald, GA 31750 · Phone (912) 384-7210 · Fax (912) 384-5130

Other Identifiers 1

Other072948GA · Georgia Medical Licence

Accepted Insurance

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

Thet Naing Zaw 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 ID5193958635
PECOS Enrollment IDI20150513001111
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 9

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.
570 services274 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.
339 services83 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
335 services50 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.
142 services106 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.
126 services100 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
100 services85 patients

Hospital Affiliations CMS Care Compare 5

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

Dorminy Medical Center

Acute Care Hospitals · Fitzgerald, GA
OwnershipGovernment - Local
CMS Certification Number110073
Location200 Perry House Road, Box 1447Fitzgerald, GA 31750 · Ben Hill County
Emergency services

Coffee Regional Medical Center, Inc

Acute Care Hospitals · Douglas, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110089
Location1101 Ocilla RoadDouglas, GA 31533 · Coffee County
Emergency services Birthing friendly

Tift Regional Medical Center

Acute Care Hospitals · Tifton, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110095
Location901 E 18th StreetTifton, GA 31793 · Tift County
Emergency services Birthing friendly

Sgmc Health

Acute Care Hospitals · Valdosta, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110122
Location2501 North Patterson Street, PO Box 1727Valdosta, GA 31602 · Lowndes County
Emergency services Birthing friendly

Jeff Davis Hospital

Critical Access Hospitals · Hazlehurst, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111333
Location163 South Tallahassee StreetHazlehurst, GA 31539 · Jeff Davis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31533 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

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%71 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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers13 claims1,170 services$0.27 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers13 claims13 services$11.69 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 2

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

NEPHROLOGY GROUP, LLC
Internal Medicine (Nephrology)
2012 OCILLA RD
DOUGLAS, GA 31533
Coffee County (912) 384-7210
NEPHROLOGY GROUP CONSULTANTS
Internal Medicine (Nephrology)
2012 OCILLA RD
DOUGLAS, GA 31533
Coffee County (912) 384-7210

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 Thet Zaw's NPI number?

The NPI number for Thet Zaw is 1750690277. It was assigned to this individual provider in the NPPES registry on October 1, 2010.

Where is Thet Zaw located?

Thet Zaw practices at 2012 Ocilla Rd, Douglas, GA 31533. The listed phone number is (912) 384-7210.

What is Thet Zaw's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Thet Zaw enrolled in Medicare?

Yes. Thet Zaw 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 Thet Zaw accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Thet Zaw 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 Thet Zaw affiliated with any hospitals?

According to CMS data, Thet Zaw is affiliated with Dorminy Medical Center, Coffee Regional Medical Center, Inc, Tift Regional Medical Center, Sgmc Health and Jeff Davis Hospital.

When was this NPI record last updated?

The NPPES record for Thet Zaw was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.