Dr Hemen Padhiar, MD - Medicare Family Practice in Cumming, GA

Dr Hemen Padhiar, MD is a medicare enrolled "Family Medicine" physician in Cumming, Georgia. He graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice North Atlanta Family Practice, Llc and his current practice location is 1400 Northside Forsyth Dr Ste 200, Cumming, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 898-8388.

Dr Hemen Padhiar is licensed to practice in Georgia (license number 055623) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1740265099.

Contact Information

Dr Hemen Padhiar, MD
1400 Northside Forsyth Dr Ste 200,
Cumming, GA 30041-7668
(770) 898-8388
(770) 898-8389

Map and Direction




Physician's Profile

Full NameDr Hemen Padhiar
GenderMale
SpecialityFamily Practice
Experience23 Years
Location1400 Northside Forsyth Dr Ste 200, Cumming, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Hemen Padhiar graduated from medical school in 2001
  NPI Data:
  • NPI Number: 1740265099
  • Provider Enumeration Date: 12/09/2005
  • Last Update Date: 06/06/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4385688761
  • Enrollment ID: I20050616000306

Medical Identifiers

Medical identifiers for Dr Hemen Padhiar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740265099NPI-NPPES
540899054EMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 055623 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Tugaloo Home Health Agency, An Amedisy CompanyGainesville, GAHome health agency
Guardian Home Care Of Northeast GeorgiaGainesville, GAHome health agency
Kindred At HomeCumming, GAHome health agency
Central Hh Care, An Amedisys CompanyAtlanta, GAHome health agency
Central Home Health Care, An Amedisys CompanyTucker, GAHome health agency
Golden Rule Hospice IncAlpharetta, GAHospice
Northside Hospital ForsythCumming, GAHospital
Northside HospitalAtlanta, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Atlanta Family Practice, Llc73159671488

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Hemen Padhiar allows following entities to bill medicare on his behalf.
Entity NameNorth Atlanta Family Practice, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487736138
PECOS PAC ID: 7315967148
Enrollment ID: O20051123000060

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Hemen Padhiar is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Hemen Padhiar, MD
1400 Northside Forsyth Dr Ste 200,
Cumming, GA 30041-7668

Ph: (770) 898-8388
Dr Hemen Padhiar, MD
1400 Northside Forsyth Dr Ste 200,
Cumming, GA 30041-7668

Ph: (770) 898-8388

Reviews and Comments


Family Medicine Doctors in Cumming, GA

Sarah Ashley Mun, M.D.
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Practice Location: 3970 Deputy Bill Cantrell Mem Ste 220, Cumming, GA 30040
Phone: 770-709-6922    
Rishita Patel, M.D.
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Phone: 770-848-9200    
David K. Moore, M.D.
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Practice Location: 2825 Keith Bridge Rd, Suite 100, Cumming, GA 30041
Phone: 770-844-7494    Fax: 770-844-7445
Navneet Johal, NURSE PRACTITIONER
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Medicare: Not Enrolled in Medicare
Practice Location: 1400 Northside Forsyth Dr Ste 200, Cumming, GA 30041
Phone: 770-898-8388    Fax: 770-898-8389
Sheba Naqvi, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 1230 Bald Ridge Marina Rd Ste 400, Cumming, GA 30041
Phone: 470-826-1905    Fax: 470-826-3334
Dr. Jacob Varghese, M.D.
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Medicare: Medicare Enrolled
Practice Location: 1400 Northside Forsyth Dr Ofc, Suite 350, Cumming, GA 30041
Phone: 404-365-0966    Fax: 770-650-5589
Shany Cohen-sadan,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 610 Peachtree Pkwy Ste 130, Cumming, GA 30041
Phone: 770-205-2804    Fax: 770-205-2854

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.