Farhad Talebi, MD
Individual provider Active NPI Internal Medicine Physician · Augusta, GA
NPI 1730107640 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1730107640
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 049210 (GA)
- Practice address
- 1 Freedom Way
Augusta, GA 30904-6258 - Phone
- (706) 733-0188
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081006000212 | GA | Practitioner - Emergency Medicine | 5496823304 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 049210 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nes Georgia Inc | Current |
Accepting new patients | |
| Nes Georgia, Inc. | Current |
Accepting new patients | |
| Nes Georgia, Inc. | Past | Accepting new patients | |
| Evans Emergency Group LLC | Past | Accepting new patients | |
| Ohoopee River Emergency Physicians | Past | Accepting new patients | |
| Nes of Florida, Inc. | Past | Accepting new patients | |
| Ogeechee Valley Emergency Physicians | Past | Accepting new patients | |
| Burke Emergency Physicians | Past | Accepting new patients | |
| Liberty Emergency Group LLC | Past | Accepting new patients |
Locations
163 S Tallahassee St
Hazlehurst, GA 31539
Phone (912) 375-7781
351 S Liberty St
Waynesboro, GA 30830
Phone (706) 554-4435
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 049210 | GA | Yes |
Addresses
Primary practice location
1 Freedom Way
Augusta, GA 30904-6258
Mailing address
3743 Pebble Beach Dr
Martinez, GA 30907-9092
Phone (706) 860-2377
Other providers in Augusta, GA
- Marko Tadros
- Frances Suzanne Talbert
- Rosetta Derrick Talbert
- Matthew McKinnon Talbott
- Barbara Talebi
- Linda Talledo
- Oscar E Talledo
- Donald B Talley
- Rebecca Anne Talley
- Alexi Tallmadge
All providers in Augusta, GA · Internal Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.