NPIMap

Individual provider Active NPI

Mokhtar Hacena, MD

  • Allergy & Immunology (Internal Medicine) Physician
  • Warner Robins, GA
National Provider Identifier
1861448110
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X
License
055062 Issued in GA
Practice address
2054 Watson Blvd
Warner Robins, GA 31093-3634
Phone
(478) 918-0770
Fax
(478) 918-0771
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology (Internal Medicine) Physician 207RA0201X 055062 GA Primary

Addresses

Primary practice location

2054 Watson Blvd
Warner Robins, GA 31093-3634

Mailing address

2054 Watson Blvd
Warner Robins, GA 31093-3634
Phone (478) 918-0770

Other identifiers 2

IdentifierTypeStateIssuer
257348755BMedicaidGA
P00332224OtherGAMEDICARE RAILROAD#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041209000027 GA Practitioner - Internal MedicinePractitioner - Allergy/Immunology 1951367119 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Allergy/Immunology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houston Hospitalist Group LLCGroup PAC ID 2769813906, 48 clinicians

Practice addresses (Care Compare)

1601 Watson Blvd
Warner Robins, GA 31093-3431
Phone (478) 922-4281

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
055062GAMDAllergy & Immunology (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Hospitalist Group LLC CurrentSince Jan 6, 2024 Accepting new patients
Houston Medical Associates, LLC Current Accepting new patients
Houston Hospitalist Group LLC CurrentSince Jan 6, 2024 Accepting new patients
Southeast Medical Group, P.C. CurrentSince Oct 1, 2023 Accepting new patients
Medical Group of Central Georgia, LLC CurrentSince Sep 1, 2008 Accepting new patients
Houston Hospitals Inc Current Accepting new patients
Center for Specialized Dentistry, LLC Past Accepting new patients

Locations

3905 Brookside Pkwy
Ste 300
Alpharetta, GA 30022
Phone (770) 442-9111

1255 Friendship Rd
Ste 130
Braselton, GA 30517
Phone (678) 341-6350

1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

2054 Watson Blvd
Warner Robins, GA 31093
Phone (478) 918-0770

2054 Watson Blvd
Ste E
Warner Robins, GA 31093
Phone (478) 918-0770

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/DIJIBA

Organizations & group practices 7

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 3

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216771200000",
    "number": "1861448110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2054 WATSON BLVD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310933634",
            "telephone_number": "478-918-0770",
            "fax_number": "478-918-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2054 WATSON BLVD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310933634",
            "telephone_number": "478-918-0770",
            "fax_number": "478-918-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACENA",
        "first_name": "MOKHTAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2008-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "GA",
            "license": "055062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257348755B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD#",
            "identifier": "P00332224",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

Verify at the official NPI Registry.