NPIMap

Organization Active NPI

Mohammed Obeidin, MD.

  • Surgery Physician
  • Athens, GA
National Provider Identifier
1558538900
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
MOHAMMED OBEIDIN, MD.
Practice address
1010 Prince Ave
Suite 186N
Athens, GA 30606-5805
Phone
(706) 548-0991
Fax
(706) 548-0184
NPI assigned
May 14, 2008
Last updated
Apr 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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

Authorized official

Name
Dr. Mohammed H Obeidin, M.D.
Title
Owner
Phone
(706) 548-0991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X Primary

Addresses

Primary practice location

1010 Prince Ave
Suite 186N
Athens, GA 30606-5805

Mailing address

1500 Oglethorpe Ave
Suite 600F
Athens, GA 30606-2179
Phone (706) 548-0991

Other identifiers 1

IdentifierTypeStateIssuer
000535972AMedicaidGA

National Provider Directory

National Provider Directory

Locations

1500 Oglethorpe Ave
Ste 600F
Athens, GA 30606
Phone (706) 548-2133

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1558538900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 OGLETHORPE AVE",
            "address_2": "SUITE 600F",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062179",
            "telephone_number": "706-548-0991",
            "fax_number": "706-548-0184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 PRINCE AVE",
            "address_2": "SUITE 186N",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306065805",
            "telephone_number": "706-548-0991",
            "fax_number": "706-548-0184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMED OBEIDIN, MD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2014-04-02",
        "status": "A",
        "authorized_official_last_name": "OBEIDIN",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-548-0991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000535972A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.