Active NPI
Mohammad Fazle Ahmad, DO
- Cardiovascular Disease Physician
- Augusta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 104040
- Practice address
- 1348 Walton Way Ste 5100
Augusta, GA 30901-5108 - Phone
- (706) 724-8611
- NPI assigned
- Mar 28, 2019
- Last updated
- Sep 10, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 104040 | GA | MD | Cardiovascular Disease Physician |
| 95484 | SC | MD | Diagnostic Radiology Physician |
| OS18382 | FL | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Cardiology of Atlanta, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Central Florida Inpatient Medicine LLC | Internal Medicine | Current | Accepting new patients |
| Florida Post Acute Care Clinicians, LLC | Current | Accepting new patients | |
| Florida Post Acute Care Clinicians, LLC | Current | 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
- 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.
-
dba Piedmont Heart Institute
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1275729691
SC
-
- Internal Medicine Physician
- Lake Mary, FL
- NPI 1649228859
-
- Family Medicine Physician
- Miramar, FL
- NPI 1811398811
-
- Family Medicine Physician
- Miramar, FL
- NPI 1699225029
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Piedmont Augusta Hospital
- General Acute Care Hospital
- Augusta, GA
- NPI 1588665566
-
dba Piedmont McDuffie Hospital
- General Acute Care Hospital
- Thomson, GA
- NPI 1982600540
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.