Individual provider Active NPI

Mohammed Hussein, MD

  • Neurology Physician
  • Columbus, GA
National Provider Identifier
1639792138
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
35830 Issued in OK
Practice address
2300 Manchester Expy Ste C003
Columbus, GA 31904-6877
Phone
(706) 324-7753
NPI assigned
May 19, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 35830 OK Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2300 Manchester Expy Ste C003
Columbus, GA 31904-6877

Mailing address

1329 Front Ave Unit 510
Columbus, GA 31901-5313
Phone (405) 761-9065

Other practice location 1

920 Stanton L Young Blvd Ste 2040
Oklahoma City, OK 73104-5036
Phone (405) 271-4113

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
I20240228001739 GA Practitioner - PsychiatryPractitioner - Neurology 9739524885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neurology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2300 Manchester Expy
Suite A201
Columbus, GA 31904-6856
Phone (706) 320-2766

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35830OKMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Francis Physician Practices LLC CurrentSince Apr 1, 2024 Accepting new patients
St Francis Physician Practices LLC Neurology CurrentSince Apr 1, 2024 Accepting new patients
St. Francis Physician Practices LLC Current Accepting new patients
St. Francis Center for Surgical Care, LLC Past Accepting new patients

Locations

2300 Manchester Expy
Ste C003
Columbus, GA 31904
Phone (706) 324-7753

2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128

2300 Manchester Expy
Ste 2001A
Columbus, GA 31904
Phone (706) 320-3126

2300 Manchester Expy
Ste A201
Columbus, GA 31904
Phone (706) 243-4550

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 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": "1589846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1639792138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 FRONT AVE UNIT 510",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319015313",
            "telephone_number": "405-761-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 MANCHESTER EXPY STE C003",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046877",
            "telephone_number": "706-324-7753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 Stanton L Young Blvd Ste 2040",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731045036",
            "country_code": "US",
            "telephone_number": "405-271-4113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUSSEIN",
        "first_name": "MOHAMMED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-19",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OK",
            "license": "35830",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.