Individual provider Active NPI

Deya Aldeen Mohammad Ali Alkhatib, MD

  • Cardiovascular Disease Physician
  • Augusta, GA
National Provider Identifier
1942725544
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME176907 Issued in FL
Practice address
1120 15TH St # Or6000
Augusta, GA 30912-3220
Phone
(706) 721-8623
NPI assigned
Aug 4, 2017
Last updated
Jul 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 75291 CT
Cardiovascular Disease Physician 207RC0000X 98012 GA
Cardiovascular Disease Physician 207RC0000X ME176907 FL Primary

Addresses

Primary practice location

1120 15TH St # Or6000
Augusta, GA 30912-3220

Mailing address

768 Nuttall St
Evans, GA 30809-0838
Phone (410) 225-8790

Other practice location 1

399 9th St N Ste 300
Naples, FL 34102-5820
Phone (239) 624-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240822003864 GA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8820459258 Reassigns benefits to 2 organizations
I20251028002547 FL Practitioner - Cardiovascular Disease (Cardiology) 8820459258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians
Nchmd IncGroup PAC ID 9436139565, 503 clinicians

Practice addresses (Care Compare)

1120 15TH St
Augusta, GA 30912-0004
Phone (706) 721-8623

3722 Wheeler Rd
Augusta, GA 30909-6756

399 9TH St N
300A Naples Heart Institute
Naples, FL 34102-5820
Phone (239) 436-5634

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

587 Furys Ferry Rd
Martinez, GA 30907-9059
Phone (706) 721-8623

989 Saint Sebastian Way
Augusta, GA 30912-0004
Phone (706) 721-2171

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME176907FLMDCardiovascular Disease Physician
75291CTMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Nchmd, Inc CurrentSince Oct 17, 2025 Accepting new patients
Au Medical Associates Inc CurrentSince Jul 1, 2024 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Nchmd Inc Cardiovascular Disease Current Accepting new patients
Au Medical Associates Inc CurrentSince Jul 1, 2024 Accepting new patients
Landmark Hospital of Southwest Florida, LLC CurrentSince Oct 17, 2025 Accepting new patients
Au Medical Center, Inc Past Accepting new patients

Locations

399 9th St N
Ste 300300A
Naples, FL 34102
Phone (239) 436-5634

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

1120 15th St
#6000
Augusta, GA 30912
Phone (706) 721-3813

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: dalkhatib116582@nchhealthcaresystem.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1501804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1942725544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "768 NUTTALL ST",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308090838",
            "telephone_number": "410-225-8790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 15TH ST # OR6000",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309123220",
            "telephone_number": "706-721-8623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "399 9th St N Ste 300",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341025820",
            "country_code": "US",
            "telephone_number": "239-624-4200",
            "fax_number": "239-624-4241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALKHATIB",
        "first_name": "DEYA",
        "middle_name": "ALDEEN MOHAMMAD ALI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-04",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CT",
            "license": "75291",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "98012",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME176907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.