NPIMap

Individual provider Active NPI

Mohammadi Shabbir, M.D.

  • Internal Medicine Physician
  • Rome, GA
National Provider Identifier
1205866563
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
51271 Issued in GA
Practice address
1305 Redmond Cir NW
Building 103 - Clinical Director's Office
Rome, GA 30165-1345
Phone
(706) 295-6285
NPI assigned
Jul 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 51271 GA Primary

Addresses

Primary practice location

1305 Redmond Cir NW
Building 103 - Clinical Director's Office
Rome, GA 30165-1345

Mailing address

1305 Redmond Cir NW
Building 103 - Clinical Director's Office
Rome, GA 30165-1345
Phone (706) 295-6285

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51271GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NW Ga Regional Hospital PastSince Jan 1, 1990 Accepting new patients
NW Ga Regional Hospital PastSince Jan 1, 1990 Accepting new patients
NW Ga Regional Hospital PastSince Jan 1, 1990 Accepting new patients
NW Ga Regional Hospital PastSince Jan 1, 1990 Accepting new patients
Georgia Department of Human Resources PastSince Jan 1, 1990 Accepting new patients
NW Ga Regional Hospital PastSince Jan 1, 1990 Accepting new patients
NW Ga Regional Hospital Icf Mr PastSince Jan 1, 1990 Accepting new patients
NW Ga Regional Hospital PastSince Jan 1, 1990 Accepting new patients
NW Ga Regional Hospital PastSince Jan 1, 1990 Accepting new patients
NW Ga Regional Hospital PastSince Jan 1, 1990 Accepting new patients
NW Ga Regional Hospital PastSince Jan 1, 1990 Accepting new patients
Greenwood Homes Learning Center 315 PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205866563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 REDMOND CIR NW",
            "address_2": "BUILDING 103 - CLINICAL DIRECTOR'S OFFICE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651345",
            "telephone_number": "706-295-6285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 REDMOND CIR NW",
            "address_2": "BUILDING 103 - CLINICAL DIRECTOR'S OFFICE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651345",
            "telephone_number": "706-295-6285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHABBIR",
        "first_name": "MOHAMMADI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "51271",
            "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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.