Individual provider Active NPI

Mohammed Almzayyen, MD

  • Surgical Critical Care Physician
  • Nashville, TN
National Provider Identifier
1013350131
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
85479 Issued in GA
Practice address
2146 Belcourt Ave
VMG Business Office
Nashville, TN 37212-3504
Phone
(615) 343-6642
NPI assigned
Apr 8, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 85479 GA
Surgical Critical Care Physician 2086S0102X 85479 GA Primary

Addresses

Primary practice location

2146 Belcourt Ave
VMG Business Office
Nashville, TN 37212-3504

Mailing address

3647 J Dewey Gray Cir Ste 200
Augusta, GA 30909-2205
Phone (706) 504-9712

Other practice location 1

3647 J Dewey Gray Cir Ste 200
Augusta, GA 30909-2205
Phone (706) 504-9712

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MOHAMMED.ALMZAYYEN@hca5.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200806002152 GA Practitioner - General Surgery 9133433840 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Vermont College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Augusta Primary Care Services LLCGroup PAC ID 2466513874, 37 clinicians

Practice addresses (Care Compare)

3647 J Dewey Gray Cir
Suite 200
Augusta, GA 30909-2205
Phone (706) 504-9712

Hospital & facility affiliations

  • Doctors Hospital Hospital, Augusta, GA, CCN 110177

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
85479GAMDSurgical Critical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Augusta Primary Care Services LLC CurrentSince Aug 10, 2020 Accepting new patients
Doctors Hospital of Augusta LLC Past Accepting new patients
Synergy Surgicalists LLC Surgery PastSince Sep 1, 2025 Accepting new patients

Locations

3623 J Dewey Gray Cir
Ste 210
Augusta, GA 30909
Phone (706) 651-5780

3647 J Dewey Gray Cir
Ste 200C
Augusta, GA 30909
Phone (706) 504-9712

3647 J Dewey Gray Cir
Ste 200
Augusta, GA 30909
Phone (706) 504-9712

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1013350131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3647 J DEWEY GRAY CIR STE 200",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309092205",
            "telephone_number": "706-504-9712",
            "fax_number": "706-504-9703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2146 BELCOURT AVE",
            "address_2": "VMG BUSINESS OFFICE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372123504",
            "telephone_number": "615-343-6642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3647 J Dewey Gray Cir Ste 200",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309092205",
            "country_code": "US",
            "telephone_number": "706-504-9712",
            "fax_number": "706-504-9703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALMZAYYEN",
        "first_name": "MOHAMMED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-08",
        "last_updated": "2022-01-04",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "85479",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "GA",
            "license": "85479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MOHAMMED.ALMZAYYEN@hca5.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "3647 J Dewey Gray Cir Ste 200",
            "city": "Augusta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "309092205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.