DR. ASIM KIDWAI (MD) – Family Medicine Physician, NPI 1841483823

DR. ASIM KIDWAI (MD) is a healthcare provider. based in East ellijay, Georgia. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 002817 (GA). The NPI Number for DR. ASIM KIDWAI (MD) is 1841483823

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. ASIM KIDWAI (MD)
NPI
1841483823
Phone
(706) 635-1400
Address
97 HEFNER ST
Enumeration Date
22 August 2007
Last Update Date
4 February 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4042533660
Graduation Year
2005 (21 years ago)
PAC ID
4587858642
Group Practice PAC ID
6002802220
Professional Enrollment ID
I20101102001243
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

3,102 FAMILY PRACTICE in GA

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Provider Addresses for DR. ASIM KIDWAI (MD)

  • Hefner Street, East Ellijay, Gilmer County, Georgia, 30539, United States

    SUITE 202

    EAST ELLIJAY, GA 305408268

    Phone: (706) 635-1400

    Fax: (706) 635-1411

    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 3 Open Payments records for all available years, with a total value of $61.

Total Amount is formed as General ($61) + Research ($0) + Ownership ($0) = $61.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Novo Nordisk Inc ($23).

Total Amount

$61

General + Research + Ownership

Payments

3

Total payment records

General Amount

$61

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

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: 2010-11-02

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
I20101102001243IFamily PracticeGATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes616300$0
J1100Injection, dexamethasone sodium phosphate, 1 mg56846$0
99213Established patient office or other outpatient visit, 20-29 minutes403239$0
36415Insertion of needle into vein for collection of blood sample254183$0
96372Injection of drug or substance under skin or into muscle15560$0
View full utilization report →

Insurance plans in this area (ZIP 30540)

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Provider's Procedures

DR. ASIM KIDWAI (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEGA83036Hemoglobin A1C level11796
FAMILY MEDICINEGA90670Pneumococcal vaccine for injection into muscle6161

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: 6002802220View full group profile

Reviews

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Frequently asked questions

Does DR. ASIM KIDWAI (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. ASIM KIDWAI (MD) uses 1841483823.
Is DR. ASIM KIDWAI (MD) listed as active for patients and plans?
The listing shows DR. ASIM KIDWAI (MD) as active in the NPI system.
What is DR. ASIM KIDWAI (MD) best known for clinically?
Directory data describes DR. ASIM KIDWAI (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. ASIM KIDWAI (MD) based?
DR. ASIM KIDWAI (MD) is tied to East Ellijay, Georgia in the data we show; additional addresses may exist on the full record.
Why does DR. ASIM KIDWAI (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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