Mohd Khairul Anam, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

039720 Issued in GA

Practice address

142 Old Mill Road
Lagrange, GA 30241

Phone

(706) 885-1900

Fax

(706) 882-1350

NPI assigned

Aug 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA2 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 2

Specialty

Internal MedicineAlso: Nephrology

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lagrange Internal Medicine, PCGroup PAC ID 4183663750, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• DaVita Meriwether Greenville Dialysis Dialysis facility, Warm Springs, GA, CCN 112881
• DaVita Troup County Dialysis Dialysis facility, Lagrange, GA, CCN 112858
• DCC Dialysis Care Center Troup County Dialysis facility, LaGrange, GA, CCN 852612
• Wellstar West Georgia Medical Center Hospital, Lagrange, GA, CCN 110016
• Wellstar Kennestone Regional Medical Center Hospital, Marietta, GA, CCN 110035

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Lagrange Internal Medicine, PC

  • Internal Medicine Physician
  • Lagrange, GA
  • NPI 1831267632
  Medicare reassignment Care Compare group NPD
• Andre D. Feria MD PC

  • Nephrology Physician
  • Lagrange, GA
  • NPI 1386780104
  Medicare reassignment NPD
• The Emory Clinic Inc

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1396798229

  Nephrology

  Medicare reassignment NPD
• Wellstar Medical Group, LLC

  • Family Medicine Physician
  • Kennesaw, GA
  • NPI 1558664003
  Medicare reassignment NPD
• Wellstar Medical Group, LLC

  • Multi-Specialty Clinic/Center
  • Marietta, GA
  • NPI 1275992240
  NPD

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

• Dialysis Care Center Troup County LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Lagrange, GA
  • NPI 1659176022

  Dialysis facility

  Care Compare affiliation Name & address match
• Total Renal Care Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Lagrange, GA
  • NPI 1760757736

  Dialysis facility

  Care Compare affiliation Name & address match
• Kennestone Hospital, Inc.

  • General Acute Care Hospital
  • Marietta, GA
  • NPI 1649248626
  Care Compare affiliation
• West Georgia Medical Center, Inc.

  • General Acute Care Hospital
  • Lagrange, GA
  • NPI 1821221144
  Care Compare affiliation

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1356354500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 VERNON RD STE 400",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404129",
            "telephone_number": "706-882-9341",
            "fax_number": "706-884-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 OLD MILL ROAD",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "30241",
            "telephone_number": "706-885-1900",
            "fax_number": "706-882-1350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1602 Vernon Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "LaGrange",
            "state": "GA",
            "postal_code": "302404129",
            "country_code": "US",
            "telephone_number": "706-882-9341 x2654",
            "fax_number": "706-884-0131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANAM",
        "first_name": "MOHD",
        "middle_name": "KHAIRUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "039720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lagrangeinternalmedicine@1300.direct.myezyaccess.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1602 Vernon Rd Ste 400",
            "city": "LaGrange",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302404129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joseph Morris Almand Jr., M.D.
• Abdallah Yousef Suleiman Almegdadi, MBBS
• Madelyn Almonte, PA-C
• Amedisys Georgia LLC
• American Dental of Lagrange, LLC
• Kayla Anderson
• Andre D. Feria MD PC
• John Scott Andrews, M.D.
• Leanna K Andrews, FNP-BC
• Morgan Andrews, PSYD

• Nephrology Physician in Lagrange, GA
• Providers in Lagrange, GA by specialty
• Nephrology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.