NPI age
17 years
Enumerated 2008-05-30
● Active
Type 1 · Individual
DR. Hadi H Hatoum
Hatoum is 1 of 5 internal medicine providers in Conyers and 1 of 221 in Georgia.
Primary specialty
Internal Medicine
Plus 4 subspecialties
Licensed in
GA, TX, FL, NE
4 states
Status
Active
No deactivations on record
Last NPPES update
2021-10-13
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 221 active internal medicine providers in Georgia.
NPI age
17 years
↑ 2 yr above median (15 yr)
State licenses
4 states
Top 61% — 38% of peers are multi-state
Subspecialties
2
In the 81% of peers with subspecialties
NPI lifetime · 2008 → 2026
2008-05Enumerated in NPPES
2008
2026
Where they practice
Practice location
1412 Milstead Ave Ne
Conyers, GA 300123877
Mailing address
1412 Milstead Ave Ne
Conyers, GA 300123877
Additional practice locations
1 secondary location on file with NPPES.
Location 2
655 W 8th St
Jacksonville, FL 322096511
Specialties
-
Internal Medicine PrimaryAn internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the...
-
Internal MedicineAn internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex...
-
Student in an Organized Health Care Education/Training ProgramAn individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (FL) | IQ258Y | MEDICARE |
| 05 (FL) | 017761200 |
Multi-state credentialing: Licensed in 4 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 98 other active providers share this practice address in NPPES.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.