Individual provider Active NPI

Mohammed Azhar Athar, M.D.

  • Family Medicine Physician
  • Mount Airy, NC
National Provider Identifier
1902899198
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
21735 Issued in NC
Practice address
826 Marshall St
Mt Airy, NC 27030-4460
Phone
(336) 789-7555
Fax
(336) 789-8270
NPI assigned
Aug 24, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 21735 NC Primary

Addresses

Primary practice location

826 Marshall St
Mt Airy, NC 27030-4460

Mailing address

826 Marshall St
Mt Airy, NC 27030-4460
Phone (336) 789-7555

Other identifiers 1

IdentifierTypeStateIssuer
8912157MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20101104000615 NC Practitioner - Family PracticePractitioner - General Practice 3375737232 Practice locations: Mount Airy, NC

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1902899198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 MARSHALL ST",
            "city": "MT AIRY",
            "state": "NC",
            "postal_code": "270304460",
            "telephone_number": "336-789-7555",
            "fax_number": "336-789-8270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 MARSHALL ST",
            "city": "MT AIRY",
            "state": "NC",
            "postal_code": "270304460",
            "telephone_number": "336-789-7555",
            "fax_number": "336-789-8270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATHAR",
        "first_name": "MOHAMMED",
        "middle_name": "AZHAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "21735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8912157",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Airy, NC

Sources for this page

Verify at the official NPI Registry.