MR. MIR ABDUL WADUD NP
NPI 1801164389
Nurse Practitioner - Family in Marietta, GA

Q: What is Mir Wadud's NPI number?

The NPI number for Mir Wadud is 1801164389. It was assigned to this individual provider in the NPPES registry on December 12, 2011.

Q: What is Mir Wadud's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Mir Wadud was last updated on May 11, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 12, 2011PECOS EnrolledAccepts Medicare Assignment

1758 COUNTY SERVICES PKWY SW, MARIETTA, GA 30008(404) 794-4857 Get Directions Write a Review

NPPES record last updated: May 11, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 11, 2020, Apr 9, 2020 (2 updates tracked since 2020).

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About Mr. Mir Abdul Wadud Np NPPES

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

MR. MIR ABDUL WADUD NP (NPI 1801164389) is an individual family provider in Marietta, Georgia, licensed in Georgia (210808) and active in the NPI registry since December 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1801164389

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. MIR ABDUL WADUDCredential: NP

Location Address1758 COUNTY SERVICES PKWY SWMarietta, GA 30008-4012

Mailing Address4031 Willowmere Trce NwKennesaw, GA 30144-6182 · (678) 446-1473

Phone(404) 794-4857

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateDecember 12, 2011

Last NPPES UpdateMay 11, 20202 updates tracked since enumeration

NPPES CertifiedMay 11, 2020

✔ NPI 1801164389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in GA · 210808✔ Licensed in NC · RN250110

1758 COUNTY SERVICES PKWY SW, Marietta, GA 30008

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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

Mr. Mir Abdul Wadud Np 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 ID9830366277

PECOS Enrollment IDI20210818002744

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30008 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

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.

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Other Providers at the Same Location NPPES 10

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

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