Individual provider Active NPI

Mohammad Bilal Ghouri, M.D

  • Internal Medicine Physician
  • Columbus, GA
National Provider Identifier
1851482020
Registry record updated Jul 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
58739 Issued in GA
Practice address
2032 Wynnton Rd D
Columbus, GA 31906-2483
Phone
(706) 407-5831
Fax
(706) 407-5832
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 58739 GA Primary

Addresses

Primary practice location

2032 Wynnton Rd D
Columbus, GA 31906-2483

Mailing address

PO Box 6237
Columbus, GA 31917-6237
Phone (706) 407-5831

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
I20150820010195 GA Practitioner - Internal Medicine 6608059167 Practice locations: Columbus, GA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2032 Wynnton Rd
Suite D
Columbus, GA 31906-2483

2032 Wynnton Rd D
Columbus, GA 31906-2483
Phone (706) 641-2728

2045 Centre Stone CT B
Columbus, GA 31904-4561
Phone (706) 322-8730

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58739GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mohammad B. Ghouri Internal Medicine PastSince Mar 13, 2015 Accepting new patients

Organizations & group practices 1

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 2

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438300800000",
    "number": "1851482020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6237",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319176237",
            "telephone_number": "706-407-5831",
            "fax_number": "706-407-5832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2032 WYNNTON RD D",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319062483",
            "telephone_number": "706-407-5831",
            "fax_number": "706-407-5832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHOURI",
        "first_name": "MOHAMMAD",
        "middle_name": "BILAL",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2015-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "58739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.