DR. DIANA KHARBAT SODIQ (D.O.) – Physical Medicine & Rehabilitation Physician, NPI 1073791190

DR. DIANA KHARBAT SODIQ (D.O.) is a healthcare provider. based in Decatur, Georgia. specializing in Physical Medicine & Rehabilitation Physician. They hold the professional credentials D.O.. They hold a License No. 2199 (GA). The NPI Number for DR. DIANA KHARBAT SODIQ (D.O.) is 1073791190

Main info

Female
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. DIANA KHARBAT SODIQ (D.O.)
NPI
1073791190
Phone
(404) 321-6111
Address
1670 Clairmont Rd
Enumeration Date
31 January 2008
Last Update Date
25 December 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8887720076
Graduation Year
2005 (21 years ago)
PAC ID
8022143049
Group Practice PAC ID
4486895083
Professional Enrollment ID
I20100316000813
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:18State licenses:2Digital endpointsOther names

Provider Addresses for DR. DIANA KHARBAT SODIQ (D.O.)

  • 1670 Clairmont Rd

    Decatur, GA 300334004

    Phone: (404) 321-6111

    Type: Location

  • 198, Hampton Street, Blacksville, McDonough, Henry County, Georgia, 30253, United States

    MCDONOUGH, GA 302533152

    Phone: (770) 957-9081

    Type: Location

  • 635 WILLOWBROOK RUN

    ALPHARETTA, GA 300228139

    Phone: (404) 821-2951

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-03-16

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
I20100316000813IPhysical Medicine And RehabilitationGATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30033)

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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: 4486895083View full group profile

Reviews

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Frequently asked questions

Does DR. DIANA KHARBAT SODIQ (D.O.) have a public NPI I can cite?
Public records show DR. DIANA KHARBAT SODIQ (D.O.) under NPI 1073791190.
Is DR. DIANA KHARBAT SODIQ (D.O.)'s NPI status active today?
Active status means DR. DIANA KHARBAT SODIQ (D.O.)'s NPI record is not deactivated in the public file.
Which specialty label fits DR. DIANA KHARBAT SODIQ (D.O.)?
NPPES ties DR. DIANA KHARBAT SODIQ (D.O.) to Physical Medicine & Rehabilitation Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit DR. DIANA KHARBAT SODIQ (D.O.) in Decatur, Georgia?
For routing, start with Decatur, Georgia for DR. DIANA KHARBAT SODIQ (D.O.), then verify phone and hours locally.
Why is information missing for DR. DIANA KHARBAT SODIQ (D.O.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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