Active NPI
Alaa Salah Hamadtalla Mohamed, MBBS
- Neurology Physician
- Augusta, GA
National Provider Identifier
1003486457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 13414
- Practice address
- 1399 Walton Way Apt 118
Augusta, GA 30901-2680 - Phone
- (904) 655-4952
- NPI assigned
- Jun 29, 2021
- Last updated
- Jun 29, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 13414 | GA | Primary |
Addresses
Primary practice location
1399 Walton Way Apt 118
Augusta, GA 30901-2680
Mailing address
Al Azhar Street, Medical City, Alsadd
Building 306 , Apt 108
Doha, DOHA 00000
QA
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13414 | GA | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624924800000",
"number": "1003486457",
"addresses": [
{
"country_code": "QA",
"country_name": "Qatar",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "AL AZHAR STREET, MEDICAL CITY, ALSADD",
"address_2": "BUILDING 306 , APT 108",
"city": "DOHA",
"state": "DOHA",
"postal_code": "00000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1399 WALTON WAY APT 118",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309012680",
"telephone_number": "904-655-4952"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHAMED",
"first_name": "ALAA",
"middle_name": "SALAH HAMADTALLA",
"credential": "MBBS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-29",
"last_updated": "2021-06-29",
"certification_date": "2021-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "GA",
"license": "13414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.