Individual provider Active NPI

Mohammed Y Pathan, MD

  • Neurology Physician
  • Columbus, GA
National Provider Identifier
1073575288
Registry record updated Apr 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
D0055762 Issued in MD
Practice address
2101 North Ave
Columbus, GA 31904-8806
Phone
(706) 221-8799
Fax
(706) 221-8979
NPI assigned
Apr 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X D0055762 MD Primary

Addresses

Primary practice location

2101 North Ave
Columbus, GA 31904-8806

Mailing address

2101 North Ave
Columbus, GA 31904-8806
Phone (706) 221-8799

Other identifiers 3

IdentifierTypeStateIssuer
W6620163OtherMDCAREFIRST
0163OtherDCCAREFIRST
K519164537901OtherMDCAREFIRST

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
I20140327002142 GA Practitioner - Neurology 3779570676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Georgialina Physical Therapy Associates LLCGroup PAC ID 6002812401, 406 clinicians

Practice addresses (Care Compare)

1321 Interstate Pkwy
Augusta, GA 30909-5626
Phone (706) 945-0810

2101 N Ave
Columbus, GA 31904-8806
Phone (706) 221-8799

Hospital & facility affiliations

  • Prohealth Home Health-Georgia, LLC Home health agency, Columbus, GA, CCN 117140
  • Piedmont Columbus Regional Midtown Hospital, Columbus, GA, CCN 110064
  • Piedmont Columbus Regional Northside Hospital, Columbus, GA, CCN 110200
  • St Francis Hospital- Emory Healthcare Hospital, Columbus, GA, CCN 110129

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0055762MDMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
River City Neurological Associates CurrentSince Mar 17, 2014 Accepting new patients
PHC Healthcare LLC Past Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
St. Agnes Healthcare, Inc. Past Accepting new patients

Locations

1538 13th Ave
Ste B100
Columbus, GA 31901
Phone (706) 563-8556

7290 North Lake Dr
Ste 505
Columbus, GA 31909

7290 North Lake Dr
Ste 506
Columbus, GA 31909

2101 North Ave
Columbus, GA 31904
Phone (706) 221-8799

2101 North Ave
Ste A
Columbus, GA 31904
Phone (706) 221-8799

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IIEEAD/Endpoint/IIEEAD

Organizations & group practices 5

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 4

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": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491436800000",
    "number": "1073575288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 NORTH AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319048806",
            "telephone_number": "706-221-8799",
            "fax_number": "706-221-8979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 NORTH AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319048806",
            "telephone_number": "706-221-8799",
            "fax_number": "706-221-8979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATHAN",
        "first_name": "MOHAMMED",
        "middle_name": "Y",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2017-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MD",
            "license": "D0055762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "W6620163",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "0163",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "K519164537901",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.