Palghat V Mohan, M.D

Primary specialty

Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X

License

18110 Issued in GA

Practice address

2300 Northside Xing Ste B
Macon, GA 31210-2254

Phone

(855) 228-4597

Fax

(855) 428-4597

NPI assigned

Jul 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 1966

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Avilys-Sleep and EegGroup PAC ID 7719303072, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: avilys.palghatmohan@127272.advancedmd-direct.com

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.

• Avilys-Sleep & Eeg

  • Sleep Disorder Diagnostic Clinic/Center
  • Macon, GA
  • NPI 1861965865

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Hospital Physician Services - Southeast Professional Corporation

  • Hospitalist Physician
  • Monroe, GA
  • NPI 1760410385

  Single Specialty

  Medicare reassignment NPD
• Ga Diagnostic Providers LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Macon, GA
  • NPI 1538768296

  Single Specialty

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1902812985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 NORTHSIDE XING STE B",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312102254",
            "telephone_number": "855-228-4597",
            "fax_number": "855-428-4597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 NORTHSIDE XING STE B",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312102254",
            "telephone_number": "855-228-4597",
            "fax_number": "855-428-4597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAN",
        "first_name": "PALGHAT",
        "middle_name": "V",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "GA",
            "license": "18110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000207556E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tricia Marie Mizell, R.T. (R) (ARRT)
• MKM Therapy Services, LLC
• Lisa Lasseter Mobley, LMFT
• Tabra J. Mobley, RBT
• Elisa Pratima Mohan, MD
• Brandy Mohn, LCSW
• Khuzema Mohsin, MD
• Hillary Lee Moinipour, NP-C
• Charkela Jenea Gaston Molden, ED.S., LPC, NCC
• Mole'T Health and Wellness, PC

• Sleep Medicine (Internal Medicine) Physician in Macon, GA
• Providers in Macon, GA by specialty
• Sleep Medicine (Internal Medicine) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.