Active NPI
Mohammed Y Pathan, MD
- Neurology Physician
- Columbus, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- D0055762
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W6620163 | Other | MD | CAREFIRST |
| 0163 | Other | DC | CAREFIRST |
| K519164537901 | Other | MD | CAREFIRST |
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
Enrollment records 1
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
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
- Piedmont Columbus Regional Midtown
- Piedmont Columbus Regional Northside
- St Francis Hospital- Emory Healthcare
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0055762 | MD | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| River City Neurological Associates | Current | 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
- 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.
-
- Internal Medicine Physician
- Columbus, GA
- NPI 1790101392
-
- Physical Therapist
- Augusta, GA
- NPI 1679286934
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
-
- Internal Medicine Physician
- College Park, MD
- NPI 1962669804
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1245274901
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Columbus, GA
- NPI 1407082308
-
- Home Health Agency
- Cartersville, GA
- NPI 1467154740
-
- General Acute Care Hospital
- Columbus, GA
- NPI 1033228168
-
- General Acute Care Hospital
- Columbus, GA
- NPI 1255401519
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.