Individual provider Active NPI

Mohsen Khodakaram, MD

  • Internal Medicine Physician
  • Buford, GA
National Provider Identifier
1932190477
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
051673 Issued in GA
Practice address
2721 Buford Hwy
Buford, GA 30518-3507
Phone
(770) 945-4800
Fax
(770) 271-8428
NPI assigned
Nov 3, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 3

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 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2721 Buford Hwy
Buford, GA 30518-3507
Phone (770) 945-4800

5755 N Point Pkwy
Suite 34
Alpharetta, GA 30022-1144
Phone (678) 240-0000

Hospital & facility affiliations

  • Pruitthealth at Home - Cumming Home health agency, Cumming, GA, CCN 117080
  • Central Home Health Care, an Amedisys Company Home health agency, Tucker, GA, CCN 117026
  • Centerwell Home Health Home health agency, Kennesaw, GA, CCN 117027
  • Accentcare Home Health of Northeast Georgia Home health agency, Buford, GA, CCN 117139
  • Northeast Georgia Medical Center, Inc Hospital, Gainesville, GA, CCN 110029
  • Northside Hospital Forsyth Hospital, Cumming, GA, CCN 110005
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161
  • Wellstar North Fulton Medical Center Hospital, Roswell, GA, CCN 110198
  • Northside Hospital Gwinnett Hospital, Lawrenceville, GA, CCN 110087
  • Wellstar Windy Hill Hospital Long-term care hospital, Marietta, GA, CCN 112007

Merit-based Incentive Payment System (MIPS)

Final score
89.39 of 100Reported as individual
Quality
79.92
Improvement activities
40
Cost
74.72

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20040204000536 GA Practitioner - Internal Medicine 6608769716 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
051673GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Buford Care Inc Internal Medicine CurrentSince Jan 1, 2004 Accepting new patients
Southeast Medical Group, P.C. PastSince Sep 12, 2022 Accepting new patients
Priority Primary Care Internal Medicine Past Accepting new patients

Locations

5755 Northpoint Pkwy
Ste 34
Alpharetta, GA 30022
Phone (678) 240-0000

2033 Buford Hwy
Ste 109
Buford, GA 30518
Phone (770) 271-8484

65 Morningside Dr
Buford, GA 30518
Phone (770) 945-4800

2721 Buford Hwy
Buford, GA 30518
Phone (770) 645-4800

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DIJIBA
  • Direct secure messaging: bufordcare.mohsenkhodakaram@123156.advancedmd-direct.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 051673 GA Primary

Addresses

NPPES NPI Registry

Primary practice location

2721 Buford Hwy
Buford, GA 30518-3507

Mailing address

2721 Buford Hwy
Buford, GA 30518-3507
Phone (770) 945-4800

Other practice location 1

5755 N Point Pkwy Ste 34
Alpharetta, GA 30022-1144
Phone (678) 240-0000

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
699854934AMedicaidGA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 19, 2025.

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1932190477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2721 BUFORD HWY",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305183507",
            "telephone_number": "770-945-4800",
            "fax_number": "770-271-8428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 BUFORD HWY",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305183507",
            "telephone_number": "770-945-4800",
            "fax_number": "770-271-8428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5755 N Point Pkwy Ste 34",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300221144",
            "country_code": "US",
            "telephone_number": "678-240-0000",
            "fax_number": "678-240-0001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHODAKARAM",
        "first_name": "MOHSEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "051673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "699854934A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buford, GA

Sources for this page

Verify at the official NPI Registry.