Mohammed Hisham Obeidin, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

036838 Issued in GA

Practice address

1010 Prince Ave Ste 400
Athens, GA 30606-5805

Phone

(706) 425-1400

Fax

(706) 548-0184

NPI assigned

Dec 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Piedmont Athens Hospitalist Physicians LLC

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1578079000
  Medicare reassignment NPD

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1104987056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 PRINCE AVE STE 400",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306065805",
            "telephone_number": "706-425-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 PRINCE AVE STE 400",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306065805",
            "telephone_number": "706-425-1400",
            "fax_number": "706-548-0184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBEIDIN",
        "first_name": "MOHAMMED",
        "middle_name": "HISHAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "036838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000535972A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leigh Ann Perri O'Dowd, PHARM D, RPH
• Shaun O'Rear, MD
• Jay D O'Shields, LMSW
• Taylor Ray Oakley, MD
• Oasis Counseling Center, LLC
• Carmen Charlotte Nana Obeng-Quarshie, MPH, MD
• Obhg Georgia, P.C.
• Gloria Uzoaku Obiechefu, LPN
• Oconee Area Home Care Services, Inc.
• Oconee Area Home Care Services, Inc.

• Surgery Physician in Athens, GA
• Providers in Athens, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.

Verify at the official NPI Registry.