Individual provider Active NPI

Mohammad Seyyedi, M.D.

  • Otology & Neurotology Physician
  • Atlanta, GA
National Provider Identifier
1487041653
Registry record updated Jan 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otology & Neurotology PhysicianTaxonomy code 207YX0901X
License
95100 Issued in GA
Practice address
1720 Peachtree St NW Ste 200
Atlanta, GA 30309-2440
Phone
(404) 351-5045
Fax
(404) 355-0691
NPI assigned
Apr 24, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otology & Neurotology Physician 207YX0901X C7-0005830 DE
Otology & Neurotology Physician 207YX0901X 25826 MN
Otology & Neurotology Physician 207YX0901X 95100 GA Primary

Addresses

Primary practice location

1720 Peachtree St NW Ste 200
Atlanta, GA 30309-2440

Mailing address

1720 Peachtree St NW Ste 200
Atlanta, GA 30309-2440
Phone (404) 351-5045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160810000587 GA Practitioner - Otolaryngology 5890008809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Ear Nose Andthroat Associates PC 15 clinicians

Practice addresses (Care Compare)

1720 Peachtree St NW
Suite 200
Atlanta, GA 30309-2440
Phone (404) 351-5045

Hospital & facility affiliations

  • Piedmont Hospital, Inc Hospital, Atlanta, GA, CCN 110083

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25826MNMDOtology & Neurotology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Ear Nose &Throat Associates PC CurrentSince Dec 1, 2023 Accepting new patients

Locations

1720 Peachtree St NW
Ste 200
Atlanta, GA 30309
Phone (404) 351-5045

Interoperability endpoints

  • Direct secure messaging: mohammad.seyyedi.p5@direct.senta.nextgenshare.com

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1429833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705190400000",
    "number": "1487041653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 PEACHTREE ST NW STE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092440",
            "telephone_number": "404-351-5045",
            "fax_number": "404-355-0691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 PEACHTREE ST NW STE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092440",
            "telephone_number": "404-351-5045",
            "fax_number": "404-355-0691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEYYEDI",
        "first_name": "MOHAMMAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-24",
        "last_updated": "2024-01-14",
        "certification_date": "2024-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "DE",
            "license": "C7-0005830",
            "primary": false
        },
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "MN",
            "license": "25826",
            "primary": false
        },
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "GA",
            "license": "95100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.