Individual provider Active NPI

Mohammad Fazle Ahmad, DO

  • Cardiovascular Disease Physician
  • Augusta, GA
National Provider Identifier
1447711767
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
104040 Issued in GA
Practice address
1348 Walton Way Ste 5100
Augusta, GA 30901-5108
Phone
(706) 724-8611
NPI assigned
Mar 28, 2019
Last updated
Sep 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 104040 GA
Internal Medicine Physician 207R00000X OS18382 FL
Cardiovascular Disease Physician 207RC0000X OS18382 FL
Hospitalist Physician 208M00000X OS18382 FL
Cardiovascular Disease Physician 207RC0000X 104040 GA Primary

Addresses

Primary practice location

1348 Walton Way Ste 5100
Augusta, GA 30901-5108

Mailing address

1348 Walton Way Ste 5100
Augusta, GA 30901-5108

Other practice location 1

14000 Fivay Rd
Hudson, FL 34667-7103
Phone (727) 819-2966

Other practice location 2

9981 S Healthpark Dr
Fort Myers, FL 33908-3618
Phone (239) 343-0550

Other practice location 3

525 Technology Park Ste 109
Lake Mary, FL 32746-7107
Phone (407) 647-2346 ext. 111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA, SC3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20230824000437 FL Practitioner - Internal Medicine 8325379886 Reassigns benefits to 2 organizations
I20250623000368 GA Practitioner - Cardiovascular Disease (Cardiology) 8325379886 Reassigns benefits to 1 organization
I20260309002142 SC Practitioner - Cardiovascular Disease (Cardiology) 8325379886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Edward Via Col of Osteo Medicine-Carolinas Campus, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Cardiology of Atlanta, LLCGroup PAC ID 0345321691, 478 clinicians

Practice addresses (Care Compare)

1348 Walton Way
Suite 5100
Augusta, GA 30901-5108
Phone (706) 722-1381

3515 Richland Ave W
Aiken, SC 29801-6311
Phone (803) 502-5527

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
104040GAMDCardiovascular Disease Physician
95484SCMDDiagnostic Radiology Physician
OS18382FLMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Cardiology of Atlanta, LLC Cardiovascular Disease CurrentSince Jun 1, 2025 Accepting new patients
Central Florida Inpatient Medicine LLC Internal Medicine CurrentSince Apr 12, 2023 Accepting new patients
Florida Post Acute Care Clinicians, LLC CurrentSince Jan 20, 2024 Accepting new patients
Florida Post Acute Care Clinicians, LLC CurrentSince Jan 20, 2024 Accepting new patients

Locations

7900 Venture Center Way
Boynton Beach, FL 33437
Phone (561) 330-0111

5888 Blanding Blvd
Jacksonville, FL 32244
Phone (352) 514-8830

525 Technology Park
Ste 109
Lake Mary, FL 32746
Phone (321) 732-5617

3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951

1780 N Jefferson Hwy
Monticello, FL 32344
Phone (800) 708-4008

1800 NE 168th St
North Miami Beach, FL 33162
Phone (305) 917-1800

2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421

1348 Walton Way
Ste 5100
Augusta, GA 30901
Phone (706) 724-8611

1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011

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

4350 Towne Centre Dr
Ste 3200
Evans, GA 30809
Phone (706) 863-3790

3515 Richland Ave W
Aiken, SC 29801
Phone (803) 502-5527

Interoperability endpoints

  • Direct secure messaging: mohammad.ahmad@398008301912068.direct.elationemr.com

Organizations & group practices 4

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 2

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": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1447711767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1348 WALTON WAY STE 5100",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309015108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1348 WALTON WAY STE 5100",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309015108",
            "telephone_number": "706-724-8611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14000 Fivay Rd",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "FL",
            "postal_code": "346677103",
            "country_code": "US",
            "telephone_number": "727-819-2966",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9981 S Healthpark Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339083618",
            "country_code": "US",
            "telephone_number": "239-343-0550",
            "fax_number": "239-343-4013",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 Technology Park Ste 109",
            "address_purpose": "LOCATION",
            "city": "Lake Mary",
            "state": "FL",
            "postal_code": "327467107",
            "country_code": "US",
            "telephone_number": "407-647-2346 x111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "MOHAMMAD",
        "middle_name": "FAZLE",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-28",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "104040",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS18382",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "OS18382",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "OS18382",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "104040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.