MR. UMAIR AHMAD MBBS
NPI 1942884085
Hospitalist in Braselton, GA

Active since May 05, 2021PECOS EnrolledAccepts Medicare Assignment
1400 RIVER PL, BRASELTON, GA 30517(770) 219-9990 Get Directions Write a Review

NPPES record last updated: October 4, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 6, 2025, Jul 20, 2021, May 5, 2021 (3 updates tracked since 2021).

About Mr. Umair Ahmad Mbbs NPPES

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

MR. UMAIR AHMAD MBBS (NPI 1942884085) is an individual hospitalist provider in Braselton, Georgia, licensed in Georgia (104075) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1942884085
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameMR. UMAIR AHMADCredential: MBBS
Location Address1400 RIVER PLBraselton, GA 30517-5600
Mailing Address1400 River PlBraselton, GA 30517-5600 · (770) 219-9990
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateMay 5, 2021
Last NPPES UpdateOctober 4, 20253 updates tracked since enumeration
NPPES CertifiedOctober 4, 2025
✔ NPI 1942884085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in GA · 104075
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 104075 (GA)
1400 RIVER PL, Braselton, GA 30517

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Umair Ahmad Mbbs 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 ID5092258665
PECOS Enrollment IDI20250730003051
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.

Medicare Billing Reassignment

Medicare enrollment records show Umair Ahmad reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
743 SPRING ST NE
Gainesville, GA 30501
  • Reassigned Medicare billing, Georgia enrollment
  • 1,172 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.
142 services70 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.
56 services55 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.
27 services19 patients

Hospital Affiliations CMS Care Compare 2

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

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 30517 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.

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.

Nurse Practitioner (Gerontology)
1400 RIVER PL
BRASELTON, GA 30517
Pharmacist
1400 RIVER PL
BRASELTON, GA 30517
Surgery (Vascular Surgery)
1400 RIVER PL
BRASELTON, GA 30517
Physician Assistant (Medical)
1400 RIVER PL
BRASELTON, GA 30517
Pediatrics
1400 RIVER PL
BRASELTON, GA 30517
Hospitalist
1400 RIVER PL
BRASELTON, GA 30517
Hospitalist
1400 RIVER PL
BRASELTON, GA 30517
Physician Assistant
1400 RIVER PL
BRASELTON, GA 30517

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 Umair Ahmad's NPI number?

The NPI number for Umair Ahmad is 1942884085. It was assigned to this individual provider in the NPPES registry on May 5, 2021.

Where is Umair Ahmad located?

Umair Ahmad practices at 1400 River Pl, Braselton, GA 30517. The listed phone number is (770) 219-9990.

What is Umair Ahmad's specialty?

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

Is Umair Ahmad enrolled in Medicare?

Yes. Umair Ahmad 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.

Which organization bills Medicare for Umair Ahmad's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Umair Ahmad reassigns Medicare benefits to Northeast Georgia Physicians Group Inc (Gainesville, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Umair Ahmad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Umair Ahmad accept?

Health plans from Alliant Health Plans, Inc. list Umair Ahmad 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 Umair Ahmad affiliated with any hospitals?

According to CMS data, Umair Ahmad is affiliated with Northeast Georgia Medical Center, Inc and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Umair Ahmad was last updated on October 4, 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.