Individual provider Active NPI

Ahmad S Al-Dabagh, M.D.

  • Internal Medicine Physician
  • Alpharetta, GA
National Provider Identifier
1104858794
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
84760 Issued in GA
Practice address
1965 Nocturne Dr
Alpharetta, GA 30009-4826
Phone
(810) 407-3744
NPI assigned
Jul 6, 2006
Last updated
Oct 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 84760 GA Primary

Addresses

Primary practice location

1965 Nocturne Dr
Alpharetta, GA 30009-4826

Mailing address

1965 Nocturne Dr
Alpharetta, GA 30009-4826
Phone (810) 407-3744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20031217000562 MI Practitioner - Internal Medicine 3971400920
I20250214001404 GA Practitioner - Internal Medicine 3971400920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Medical Group, P.C.Group PAC ID 3577559673, 139 clinicians

Practice addresses (Care Compare)

3790 Pleasant Hill Rd
Suite 170
Duluth, GA 30096-5145
Phone (770) 442-1911

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301063880MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Medical Group, P.C. CurrentSince Mar 10, 2025 Accepting new patients
Ascension Genesys Hospital Past Accepting new patients
Family Orthopedic Associates P L C Past Accepting new patients
Regional Medical Imaging, P.C. PastSince Dec 5, 2008 Accepting new patients
Hurley Health Services Internal Medicine Past Accepting new patients
Physician First Health Network PastSince Jun 3, 2025 Accepting new patients
Priority Primary Care Internal Medicine PastSince Feb 23, 2025 Accepting new patients

Locations

3905 Brookside Pkwy
Ste 300
Alpharetta, GA 30022
Phone (770) 442-9111

1255 Friendship Rd
Ste 130
Braselton, GA 30517
Phone (678) 341-6350

3790 Pleasant Hill Rd
Ste 170
Duluth, GA 30096
Phone (770) 360-1020

4300 Northpoint Pkwy
Ste 300
Johns Creek, GA 30022
Phone (770) 518-4406

Interoperability endpoints

  • Direct secure messaging: aaldabagh1159387@direct.hfhs.org
  • FHIR API: https://api.platform.athenahealth.com/8209/brand/5/csg/21/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/DIJIBA

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791763200000",
    "number": "1104858794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1965 NOCTURNE DR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300094826",
            "telephone_number": "810-407-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 NOCTURNE DR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300094826",
            "telephone_number": "810-407-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-DABAGH",
        "first_name": "AHMAD",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "84760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.