Mohammad Fazle Ahmad, DO

Key facts

NPI

1447711767

Entity type

Individual (NPI type 1)

Primary specialty

Cardiovascular Disease Physician 207RC0000X

License

104040 (GA)

Practice address

1348 Walton Way Ste 5100
Augusta, GA 30901-5108

Phone

(706) 724-8611

NPI assigned

Mar 28, 2019

Sex

Male

Sole proprietor

Yes

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 and National Provider Directory roles.

• Piedmont Cardiology of Atlanta, LLC Cardiovascular Disease Physician · Atlanta, GA · NPI 1275729691
  Medicare reassignment Care Compare group NPD CARDIOVASCULAR DISEASE · GA · SC
• Central Florida Inpatient Medicine LLC Internal Medicine Physician · Lake Mary, FL · NPI 1649228859
  Medicare reassignment NPD FL · INTERNAL MEDICINE
• Florida Post Acute Care Clinicians, LLC Family Medicine Physician · Miramar, FL · NPI 1811398811
  Medicare reassignment NPD FL
• Florida Post Acute Care Clinicians, LLC Family Medicine Physician · Miramar, FL · NPI 1699225029
  NPD

Hospital & facility affiliations 2

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

• University Health Services,Inc General Acute Care Hospital · Augusta, GA · NPI 1588665566
  Care Compare affiliation Hospital
• University McDuffie County Regional Medical Center, Inc. General Acute Care Hospital · Thomson, GA · NPI 1982600540
  Care Compare affiliation Hospital

Medicare Care Compare profile

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, LLC (478 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Piedmont Augusta Hospital Hospital · Augusta, GA · CCN 110028
• University McDuffie County Regional Medical Center Hospital · Thomson, GA · CCN 110111

Medicare participation

Medicare fee-for-service enrollment

Enrolled (3 enrollments) in FL, GA, SC

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

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

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 10, 2026.

{
    "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": "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": "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": "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118105000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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All providers in Augusta, GA · Cardiovascular Disease Physician in Georgia