Mohammad Ali Al Azem, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

41254 Issued in GA

Practice address

3747 Roswell Rd Ste 215
Marietta, GA 30062-6228

Phone

(770) 422-1372

NPI assigned

Oct 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 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

Specialty

Pulmonary DiseaseAlso: Critical Care (Intensivists)

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hamilton Physician Group, IncGroup PAC ID 4789708553, 120 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hamilton Medical Center Hospital, Dalton, GA, CCN 110001

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: malazem20009@hhcs.direct-ci.com

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.

• Hamilton Physician Group Inc

  • Cardiovascular Disease Physician
  • Dalton, GA
  • NPI 1235455569
  Medicare reassignment Care Compare group NPD
• Dekalb Medical Hospitalists LLC

  • Hospitalist Physician
  • Decatur, GA
  • NPI 1811026891
  NPD (past)
• Hamilton Medical Center, Inc.

  • General Acute Care Hospital
  • Dalton, GA
  • NPI 1528056066
  NPD (past)
• Jafar Tabatabai M.D. P.C.

  • Geriatric Medicine (Family Medicine) Physician
  • Woodstock, GA
  • NPI 1255731741
  NPD (past)
• Jafar Tabatabi, M.D, P.C.

  • Family Medicine Physician
  • Stone MTN, GA
  • NPI 1275712606
  NPD (past)
• South Atlanta Pulmonary Group

  • Pulmonary Disease Physician
  • East Point, GA
  • NPI 1376676486

  Internal Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hamilton Medical Center, Inc.

  • General Acute Care Hospital
  • Dalton, GA
  • NPI 1528056066
  Care Compare affiliation
• Hamilton Medical Center, Inc.

  • Psychiatric Hospital Unit
  • Dalton, GA
  • NPI 1760645782
  Care Compare affiliation
• Hamilton Physician Group Inc

  • Cardiovascular Disease Physician
  • Dalton, GA
  • NPI 1235455569

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1174612477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 403631",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303843631",
            "telephone_number": "770-740-0895",
            "fax_number": "770-740-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3747 ROSWELL RD STE 215",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300626228",
            "telephone_number": "770-422-1372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2701 N Decatur Rd",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300335918",
            "country_code": "US",
            "telephone_number": "404-501-5422",
            "fax_number": "404-501-1771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1107 Memorial Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Dalton",
            "state": "GA",
            "postal_code": "307208662",
            "country_code": "US",
            "telephone_number": "706-529-3072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AL AZEM",
        "first_name": "MOHAMMAD",
        "middle_name": "ALI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "41254",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "GA",
            "license": "41254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000788444C",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mazem376331@directwellstar.org",
            "affiliation": "N",
            "address_1": "3747 Roswell Rd Ste 215",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300626228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Oluronke Akinrolabu, RN
• Adebukola Akintoye, MD
• Abdel-Rauof Akkari
• Victoria N Akobundu
• Angelina Akotsen-Mensah
• Basil Salem Al-Awabdy, MD
• Ahmed Al-Badri, MD
• Ahmad Al-Rafati, MD
• Cal Melisa Alaba-Yusouf, MA, LPC
• Alejandro R Alam-Gonzalez, M.D.

• Pulmonary Disease Physician in Marietta, GA
• Providers in Marietta, GA by specialty
• Pulmonary Disease Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; 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.

Verify at the official NPI Registry.