Eltirmizy Salih Khidir Mohamed

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

006547 Issued in GA

Practice address

303 Parkway Dr NE
Atlanta Medical Center
Atlanta, GA 30312-1212

Phone

(404) 265-4919

NPI assigned

Jul 14, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Internal Medicine

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cogent Healthcare of Macon, LLCGroup PAC ID 9234104019, 73 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Navicent Health Baldwin Hospital, Milledgeville, GA, CCN 110150

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: eltirmizy.mohamed.p48@direct.tenet.nextgenshare.com
• Direct secure messaging: eltirmizy.mohamed.p50@direct.tenet.nextgenshare.com

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.

• Cogent Healthcare of Macon, LLC

  • Internal Medicine Physician
  • Macon, GA
  • NPI 1073564217
  Medicare reassignment Care Compare group NPD
• Navicent Health Baldwin, Inc

  • General Acute Care Hospital
  • Milledgeville, GA
  • NPI 1841701562
  NPD (past)

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

• Navicent Health Baldwin, Inc

  • General Acute Care Hospital
  • Milledgeville, GA
  • NPI 1841701562
  Care Compare affiliation

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

{
    "created_epoch": "1373760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373760000000",
    "number": "1598106916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 PARKWAY DR NE",
            "address_2": "ATLANTA MEDICAL CENTER",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303121212",
            "telephone_number": "404-265-4919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 PARKWAY DR NE",
            "address_2": "ATLANTA MEDICAL CENTER",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303121212",
            "telephone_number": "404-265-4919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMED",
        "first_name": "ELTIRMIZY",
        "middle_name": "SALIH KHIDIR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-14",
        "last_updated": "2013-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "006547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mishana L. Mogelnicki, PAAA
• Stanley R Mogelnicki, M.D.
• Pegah Moghaddam, PSY. D
• Maria Alejandra Mogollon, APRN, NP-C
• Eltayeb Mohamed Ahmed, MBBS
• Ghada Ashraf Ahmed Mahmoud Mohamed, MD, MSC, MSCR
• Iman Mohamed, PHARMD
• Olina Mohamed
• Salma Sabry Mohamed, PA
• Umaymah Mohammad

• Internal Medicine Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2013; 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.

Verify at the official NPI Registry.