NPIMap

Individual provider Active NPI

Sami Augustine Belakhlef, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Augusta, GA
National Provider Identifier
1194112078
Registry record updated Jun 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
86124 Issued in GA
Practice address
1120 15TH St
Augusta, GA 30912-0001
Phone
(706) 721-8623
NPI assigned
Apr 19, 2015
Last updated
Jun 22, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 86124 GA Primary

Addresses

Primary practice location

1120 15TH St
Augusta, GA 30912-0001

Mailing address

1120 15TH St Ste Bi-1056
Augusta, GA 30912-0004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200629001860 GA Practitioner - Pathology 7113236779 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Mercer University School of Medicine, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Pathology and Laboratory Medicine, PCGroup PAC ID 1254323991, 26 clinicians
South Suburban Pathologists PCGroup PAC ID 0547254872, 8 clinicians
City of Hope Medical Group of Georgia LLCGroup PAC ID 4880841212, 137 clinicians

Practice addresses (Care Compare)

1000 Johnson Ferry Nerd
Atlanta, GA 30342-1606
Phone (770) 458-6103

1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone (770) 918-3000

600 Celebrate Life Pkwy
Newnan, GA 30265-8001
Phone (770) 400-6080

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.74 of 100Reported as group
Quality
63.81
Promoting interoperability
100
Improvement activities
40
Cost
57.71

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Au Medical Associates Inc CurrentSince Jul 1, 2020 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Sep 1, 2023 Accepting new patients
City of Hope Medical Group of Georgia LLC CurrentSince Aug 26, 2024 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Pathology and Laboratory Medicine, PC Anatomic Pathology & Clinical Pathology CurrentSince May 1, 2024 Accepting new patients
South Suburban Pathologists PC Anatomic Pathology & Clinical Pathology CurrentSince Feb 13, 2024 Accepting new patients
Au Medical Associates Inc CurrentSince Jul 1, 2020 Accepting new patients

Locations

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

1120 15th St
Ste BI1056
Augusta, GA 30912
Phone (706) 721-2785

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

5126 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-4340

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

2550 Windy Hill Rd SE
Ste 301
Marietta, GA 30067
Phone (770) 739-9555

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

62742 Collections Ctr Dr
Chicago, IL 60693

5700 Southwyck Blvd
Toledo, OH 43614

Interoperability endpoints

  • Direct secure messaging: sbelakhlef443892@direct.vumc.org

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.

Hospital & facility affiliations 5

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": "1429401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1194112078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 15TH ST STE BI-1056",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 15TH ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120001",
            "telephone_number": "706-721-8623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELAKHLEF",
        "first_name": "SAMI",
        "middle_name": "AUGUSTINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-19",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "GA",
            "license": "86124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.