Shamim Ara Mohammad – Medical Physician Assistant

Key facts

NPI: 1376798017
Entity type: Individual (NPI type 1)
Primary specialty: Medical Physician Assistant 363AM0700X
License: 005475 (GA)
Practice address: 1120 15TH St
Augusta, GA 30912-0004
Phone: (706) 721-0211
NPI assigned: Nov 21, 2008
Sex: Female
Sole proprietor: Yes

Organizations & group practices 5

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.

Au Medical Associates Inc Multi-Specialty Clinic/Center · Augusta, GA · NPI 1841230620

Medicare reassignment NPD GA
Houston County Emergency Group, LLC Emergency Medicine Physician · Warner Robins, GA · NPI 1013338193

Medicare reassignment GA
Au Medical Associates Inc Durable Medical Equipment & Medical Supplies · Augusta, GA · NPI 1114574126

NPD
Houston County Emergency Group, LLC Emergency Medicine Physician · Perry, GA · NPI 1467873547

NPD
Tri-County Health System, Inc. Federally Qualified Health Center (FQHC) · Crawfordville, GA · NPI 1124294434

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Enrolled in GA
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20130802000775	GA	Practitioner - Physician Assistant	7012158009	Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Physician Assistant

Practice roles

Organization	Status	New patients
Au Medical Associates Inc	Current since Aug 1, 2013	Accepting new patients
Houston County Emergency Group, LLC	Current since Feb 1, 2014	Accepting new patients
Au Medical Associates Inc	Current since Aug 1, 2013	Accepting new patients
Tri-County Health System, Inc.	Past	Accepting new patients

Locations

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

1499 Walton Way
Ste 1400
Augusta, GA 30901
Phone (706) 721-4951

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Medical Physician Assistant	363AM0700X	005475	GA	Yes

Addresses

Primary practice location

1120 15TH St
Augusta, GA 30912-0004

Mailing address

1499 Walton Way
Ste 1400
Augusta, GA 30901-2602
Phone (706) 724-6100

Other names

Mrs. Shamim Ara Professional name

Other providers in Augusta, GA

Adir Mohaban, MD
Ahmed Mohamed Refaat Dakhly Mohamed, M.B.B.C.H
Alaa Salah Hamadtalla Mohamed, MBBS
Fawzi Tawfic Mohammad, MD
Ibtisam Mohammad
Azeem A. Mohammed, MBBS
Parvathi Devi Mohan, MD
Ramanujam Mohan, MD
Namita Mohanty, M.D.
Anand Mohapatra, MD

All providers in Augusta, GA · Medical Physician Assistant in Georgia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2013. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.