FAHEEM B NUSRAT


Address: 1021 Silver Bluff Rd, Aiken, SC 29803
Phone: 8036480587

FAHEEM B NUSRAT (NPI# 1235121237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235121237
Entity Type Individual
Full Name FAHEEM B NUSRAT
Credential MD
Practice Address 1021 Silver Bluff Rd
Aiken
SC 29803
Mailing Address University Medical Group
P O Box 1705
Augusta
GA 30903-1705
Practice Telephone 8036480587
Practice Fax Number 8036489846
Mailing Telephone 7067747261
Mailing Fax Number 7067747279
Enumeration Date 2005-08-17
Last Update Date 2018-07-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine MD38409 SC Allopathic & Osteopathic Physicians
N 207R00000X Internal Medicine 044043 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
GA WELLCARE 341628 01
GA WELLCARE 341630 01
GA 000788081B 05
GA MEDICARE FQHC 111812 01
GA AMERIGROUP 10057307 01
GA WELLCARE 342410 01
GA 000471809B 05
GA MEDICARE FQHC 111814 01
GA 000788081E 05
GA MEDICARE FFS GROUP GRP1619 01
MEDICARE RR RETIRED P00015170 01
GA MEDICAID FQHC 000471809A 01
GA MEDICARE FQHC 111811 01
GA WELLCARE 341629 01
GA MEDICARE FFS 11SCCWT 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
325 Georgia Ave Ste 100, North Augusta, SC 298413848 8032023351 8038198532
3515 Richland Ave, Aiken, SC 298016311 8036422626 8036422960

Office Location

Street Address 1021 SILVER BLUFF RD
City AIKEN
State SC
Zip Code 29803

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790780096 Stephanie B Woollen Internal Medicine 1021 Silver Bluff Rd, Aiken, SC 29803-5879 2005-06-15
1326498510 Umg Prompt Care South Carolina,llc Family Medicine 1021 Silver Bluff Rd, Aiken, SC 29803-5879 2016-06-17
1366451122 David Dominguez Family Medicine 1021 Silver Bluff Rd, Aiken, SC 29803 2006-08-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871147454 Augusta Oncology Associates, P.C. Specialist 222 University Parkway, Aiken, SC 29803 2019-07-31
1356804546 Ebony Johnson Home Health Aide 942 C Dougherty Rd, Aiken, SC 29803 2019-04-13
1689144230 Tabatha Lee Maddox Occupational Therapist 550 East Gate Dr, Aiken, SC 29803 2018-11-27
1962995100 Pvd Internal Medicine Associates LLC Internal Medicine 440 Society Hill Dr Ste B, Aiken, SC 29803 2018-06-12
1689197691 Trent David Yoder Dentist 174 Crepe Myrtle Drive, Aiken, SC 29803 2017-07-21
1770039331 Lauren Reigot Physical Therapist 6140 Woodside Executive Ct., Aiken, SC 29803 2016-09-01
1851747190 Umg Primary Care South Carolina, LLC Family Medicine 1023 Silver Bluff Road, Aiken, SC 29803 2016-05-05
1912375759 Lisa G Browning Nurse Practitioner 550 E. Gate Drive, Aiken, SC 29803 2015-09-10
1346682754 Tyresia Jovon White Dentist 440 Society Hill Dr Ste 201, Aiken, SC 29803 2013-07-25
1528327483 Caresouth Hospice, LLC Hospice Care, Community Based 37 Varden Drive, Suite B, Aiken, SC 29803 2012-05-14
Find all providers in zip 29803

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932764321 Proactive Md Sc,p.a. Family Medicine 2556 Wagener Rd, Aiken, SC 29801-9572 2019-05-01
1851747190 Umg Primary Care South Carolina, LLC Family Medicine 1023 Silver Bluff Road, Aiken, SC 29803 2016-05-05
1982044053 Cpc-aiken Family Medicine 410 Hitchcock Pkwy, Aiken, SC 29801-3398 2013-07-03
1639479801 Aiken Professional Association, LLC Family Medicine 420 Society Hill Dr Ste 200, Aiken, SC 29803-1731 2010-10-22
1780912733 Catherine Harmon Toomer Family Medicine 953b Dougherty Rd, Aiken, SC 29803-6508 2009-12-03
1316109564 Adam W Bruckner Family Medicine 420 Society Hill Dr, Suite 200, Aiken, SC 29803-1731 2008-06-30
1366612566 Anthony Todd Arnott Family Medicine 1029 York St Ne, Aiken, SC 29801-4025 2008-03-04
1184760910 Alan Christopher Schwartz Family Medicine 1021 Silverbluff Road, Aiken, SC 29803 2007-01-29
1003915877 East Aiken Health Center L.L.C. Family Medicine 1847 Hatchaway Bridge Rd, East Aiken Health Center, Aiken, SC 29805-8163 2006-09-21
1801819834 Stephen C Youmans Family Medicine 934 Dougherty Rd, Aiken, SC 29803-6515 2006-07-25
Find all providers in AIKEN

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City AIKEN
Zip Code 29803

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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