Active NPI
Walid Ismail Attia, M.B.B.CH., PH.D.
- Neurological Surgery Physician
- Augusta, GA
National Provider Identifier
1760608202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 001732
- Practice address
- Medical College of Georgia, Neurosurgery Department
1120 15TH Street
Augusta, GA 30912-2900 - Phone
- (706) 721-8085
- NPI assigned
- Apr 17, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 001732 | GA | Primary |
Addresses
Primary practice location
Medical College of Georgia, Neurosurgery Department
1120 15TH Street
Augusta, GA 30912-2900
Mailing address
255 Fairfax St
Martinez, GA 30907-2188
Phone (706) 496-2070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001732 | GA | MD | Neurological Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760608202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 FAIRFAX ST",
"city": "MARTINEZ",
"state": "GA",
"postal_code": "309072188",
"telephone_number": "706-496-2070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MEDICAL COLLEGE OF GEORGIA, NEUROSURGERY DEPARTMENT",
"address_2": "1120 15TH STREET",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309122900",
"telephone_number": "706-721-8085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATTIA",
"first_name": "WALID",
"middle_name": "ISMAIL",
"name_prefix": "Dr.",
"credential": "M.B.B.CH., PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "GA",
"license": "001732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Suzanne Joy Atteberry, D.O.
- Merna Alaa Ibrahim Attia, MD
- Au Dental Associates
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- Au Medical Associates Anesthesia Billing Services, LLC (MCG Anesthesiology Financial Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.