Mohamad Ali Hamki, M.D

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

037555 Issued in CA

Practice address

9280 Highway 5 Ste E
Douglasville, GA 30134-1501

Phone

(770) 635-8163

Fax

(770) 635-8254

NPI assigned

Jun 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Emergency MedicineAlso: Family Practice, General Practice

Education

Other, 1983

Medicare assignment

May accept Medicare assignment

Group practices

Prime Immediate Care LLCGroup PAC ID 6800978933, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Prime Immediate Care LLC

  • Urgent Care Clinic/Center
  • Douglasville, GA
  • NPI 1396924635
  Medicare reassignment Care Compare group NPD Authorized official
• Jafar Tabatabai M.D. P.C.

  • Geriatric Medicine (Family Medicine) Physician
  • Woodstock, GA
  • NPI 1255731741
  NPD (past)
• TMC Immediate Care, Inc

  dba Tanner Urgent Care

  • Urgent Care Clinic/Center
  • Villa Rica, GA
  • NPI 1386708097
  NPD (past)

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327881600000",
    "number": "1639113848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9280 HIGHWAY 5 STE E",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301341501",
            "telephone_number": "770-635-8163",
            "fax_number": "770-635-8254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9280 HIGHWAY 5 STE E",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301341501",
            "telephone_number": "770-635-8163",
            "fax_number": "770-635-8254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMKI",
        "first_name": "MOHAMAD",
        "middle_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2012-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "037555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000575803K",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000575803J",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Hall, LMT
• Tammy Yvonne Hall
• William Allen Hall, DDS
• Kaiya Hamilton
• Richard Hamilton, LPC
• Nabila Zafar Haque
• Benjamin Harber
• Sandra E. Harbin, PT
• Brandon Edward Hard, D.C.
• Kamiti Undesa Harden, D.D.S.

• Emergency Medicine Physician in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Emergency Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; 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.