Individual provider Active NPI

Mahsheed Khajavi, M.D.

  • Internal Medicine Physician
  • Dalton, GA
National Provider Identifier
1114945979
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
040119 Issued in GA
Practice address
1200 Memorial Dr
Dalton, GA 30720-2529
Phone
(706) 272-6000
Fax
(706) 272-6049
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME125989 FL
Internal Medicine Physician 207R00000X 040119 GA Primary

Addresses

Primary practice location

1200 Memorial Dr
Dalton, GA 30720-2529

Mailing address

1200 Memorial Dr
Dalton, GA 30720-2529
Phone (706) 272-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20040310000027 GA Practitioner - Internal MedicinePractitioner - Hospitalist 2769370873 Reassigns benefits to 8 organizations
I20170411001363 FL Practitioner - Internal Medicine 2769370873 Reassigns benefits to 1 organization
I20231031002424 GA Practitioner - Hospitalist 2769370873 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
George Washington University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emory Specialty Associates, LLCGroup PAC ID 3476559782, 706 clinicians
Southeastern Medical Specialists, LLCGroup PAC ID 8527401777, 9 clinicians
Vituity-Georgia Hospitalists PCGroup PAC ID 4789124496, 15 clinicians

Practice addresses (Care Compare)

1364 Clifton Rd NE
Atlanta, GA 30322-1059
Phone (404) 778-3900

163 Hospital Dr
Toccoa, GA 30577-6820
Phone (706) 282-4200

367 Clear Creek Pkwy
Lavonia, GA 30553-4173
Phone (706) 356-7800

501 Redmond Rd NW
Rome, GA 30165-1415
Phone (706) 291-0291

Hospital & facility affiliations

  • Stephens County Hospital Hospital, Toccoa, GA, CCN 110032
  • Piedmont Eastside Medical Center Hospital, Snellville, GA, CCN 110192
  • Emory Decatur Hospital Hospital, Decatur, GA, CCN 110076
  • Piedmont Cartersville Medical Center Hospital, Cartersville, GA, CCN 110030
  • Ty Cobb Regional Medical Center, LLC Hospital, Lavonia, GA, CCN 110027
  • Stephens County Hospital Nursing home, CCN 11U032

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME125989FLMDInternal Medicine Physician
040119GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Specialty Associates, LLC Internal Medicine CurrentSince Dec 2, 2025 Accepting new patients
24 On Physicians, PC CurrentSince Jun 1, 2014 Accepting new patients
Southeastern Medical Specialists, LLC CurrentSince Dec 16, 2023 Accepting new patients
Hospital Physician Services of Florida PA Internal Medicine CurrentSince Nov 15, 2023 Accepting new patients
24 On Physicians, P.C. CurrentSince Jun 1, 2014 Accepting new patients
Tift Regional Health System Inc CurrentSince Jun 25, 2013 Accepting new patients
Southeastern Hospitalist Services PC Internal Medicine CurrentSince Oct 21, 2022 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Jul 1, 2009 Accepting new patients
The Emory Clinic Inc Internal Medicine CurrentSince Jan 1, 2013 Accepting new patients
Hamilton Medical Center, Inc. CurrentSince Dec 27, 2021 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Aug 20, 2020 Accepting new patients
Phoebe Physiatry CurrentSince Jul 1, 2009 Accepting new patients
Northeast Georgia Physicians Group Inc Internal Medicine CurrentSince Sep 19, 2023 Accepting new patients
Hamilton Physician Group Inc CurrentSince Dec 27, 2021 Accepting new patients
Tift Regional Health System Inc CurrentSince Jun 25, 2013 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Aug 15, 2023 Accepting new patients
Emory Medical Care Foundation Inc Internal Medicine CurrentSince Aug 15, 2023 Accepting new patients
Adventist Health System Georgia Inc Past Accepting new patients
Stephens County Hospital Authority Past Accepting new patients

Locations

500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

13000 Deerfield Pkwy
Ste 100
Alpharetta, GA 30004

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

101 Mayo St
Ste A
Americus, GA 31709
Phone (229) 924-4647

35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000

1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

1364 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 712-7100

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

201 Hospital Rd
Canton, GA 30114
Phone (770) 479-1941

2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115

541 441 Historic Hwy N
Demorest, GA 30535
Phone (706) 839-4000

597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000

2225 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-3422

2227 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-6188

901 18th St E
Tifton, GA 31794
Phone (229) 353-6208

163 Hospital Dr
Toccoa, GA 30577
Phone (706) 282-4200

Interoperability endpoints

  • Direct secure messaging: mkhajavi19390@hhcs.direct-ci.com

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 6

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1114945979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 MEMORIAL DR",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202529",
            "telephone_number": "706-272-6000",
            "fax_number": "706-272-6049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 MEMORIAL DR",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202529",
            "telephone_number": "706-272-6000",
            "fax_number": "706-272-6049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAJAVI",
        "first_name": "MAHSHEED",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME125989",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "040119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

Verify at the official NPI Registry.