Active NPI
Gem Mohan, MD
- Interventional Cardiology Physician
- Rome, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 114506
- Practice address
- 591 Redmond Rd NW Ste 103
Rome, GA 30165-1562 - Phone
- (706) 368-8500
- Fax
- (706) 307-4613
- NPI assigned
- Jul 19, 2019
- Last updated
- Sep 18, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | 036175595 | IL | |
| Interventional Cardiology Physician | 207RI0011X | 114506 | GA | Primary |
Addresses
Primary practice location
591 Redmond Rd NW Ste 103
Rome, GA 30165-1562
Mailing address
PO Box 12938
C/O Clinic Management
Calhoun, GA 30703
Phone (706) 602-7800
Other practice location 1
2160 S 1st Ave
Maywood, IL 60153-3328
Phone (888) 584-7888
Other practice location 2
501 Redmond Rd NW
Rome, GA 30165-1415
Phone (706) 291-0291 ext. 3020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190819002301 | GA | Order and Referring Only - Cardiovascular Disease (Cardiology) | 9234467010 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114506 | GA | MD | Interventional Cardiology Physician |
| 036175595 | IL | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health System Georgia Inc | Current | Accepting new patients |
Locations
1035 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 602-7800
501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291
591 Redmond Rd NW
Ste 103
Rome, GA 30165
Phone (706) 368-8500
Organizations & group practices 1
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.
-
dba AdventHealth Medical Group
- Multi-Specialty Clinic/Center
- Calhoun, GA
- NPI 1699791343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789689600000",
"number": "1164075156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12938",
"address_2": "C/O CLINIC MANAGEMENT",
"city": "CALHOUN",
"state": "GA",
"postal_code": "30703",
"telephone_number": "706-602-7800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "591 REDMOND RD NW STE 103",
"city": "ROME",
"state": "GA",
"postal_code": "301651562",
"telephone_number": "706-368-8500",
"fax_number": "706-307-4613"
}
],
"practiceLocations": [
{
"address_1": "2160 S 1st Ave",
"address_purpose": "LOCATION",
"city": "Maywood",
"state": "IL",
"postal_code": "601533328",
"country_code": "US",
"telephone_number": "888-584-7888",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "501 Redmond Rd NW",
"address_purpose": "LOCATION",
"city": "Rome",
"state": "GA",
"postal_code": "301651415",
"country_code": "US",
"telephone_number": "706-291-0291 x3020",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOHAN",
"first_name": "GEM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-19",
"last_updated": "2026-09-18",
"certification_date": "2026-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "IL",
"license": "036175595",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "GA",
"license": "114506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rome, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; 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.