DR. AHMAD IBN NURIDDIN (M.D.) – Surgery Physician, NPI 1013003300

DR. AHMAD IBN NURIDDIN (M.D.) is a healthcare provider. based in Stockbridge, Georgia. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. 055150 (GA). The NPI Number for DR. AHMAD IBN NURIDDIN (M.D.) is 1013003300

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. AHMAD IBN NURIDDIN (M.D.)
NPI
1013003300
Phone
(770) 474-7287
Address
1040 EAGLES LANDING PKWY
Enumeration Date
5 October 2006
Last Update Date
14 July 2016

Doctor Profile

Medical School Name
MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2001 (25 years ago)
PAC ID
8123029931
Group Practice PAC ID
5991786725
Professional Enrollment ID
I20070122000542
Address ID
GA302819073St1040XPKWY402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,092 GENERAL SURGERY in GA

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Provider Addresses for DR. AHMAD IBN NURIDDIN (M.D.)

  • Eagles Landing Parkway, Stockbridge, Henry County, Georgia, 30281, United States

    SUITE 100

    STOCKBRIDGE, GA 302819072

    Phone: (770) 474-7287

    Fax: (770) 389-3713

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $10,012.

Total Amount is formed as General ($10,012) + Research ($0) + Ownership ($0) = $10,012.

Last reported payment date: 2024-10-25 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($9,988).

Total Amount

$10,012

General + Research + Ownership

Payments

16

Total payment records

General Amount

$10,012

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-25

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-01-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070122000542IGeneral SurgeryGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes3425$0
99203New patient office or other outpatient visit, 30-44 minutes2828$0
99204New patient office or other outpatient visit, 45-59 minutes2222$0
47562Removal of gallbladder using an endoscope1111$0
49650Repair of groin hernia using an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 30281)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5991786725View full group profile

Reviews

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Frequently asked questions

What is the registry number for DR. AHMAD IBN NURIDDIN (M.D.)?
The registry entry for DR. AHMAD IBN NURIDDIN (M.D.) shows NPI 1013003300.
Does the public listing show DR. AHMAD IBN NURIDDIN (M.D.) as active?
DR. AHMAD IBN NURIDDIN (M.D.)'s NPI record reflects an active status in NPPES.
Which specialty label fits DR. AHMAD IBN NURIDDIN (M.D.)?
NPPES ties DR. AHMAD IBN NURIDDIN (M.D.) to Surgery Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to DR. AHMAD IBN NURIDDIN (M.D.)?
The directory associates DR. AHMAD IBN NURIDDIN (M.D.) with Stockbridge, Georgia. Check all listed addresses for suites or satellite offices.
Why is information missing for DR. AHMAD IBN NURIDDIN (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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