Mohammad Annaba, MD
Individual provider Active NPI Internal Medicine Physician · Jasper, GA
NPI 1962481168 · NPPES record last updated Feb 2, 2024
Key facts
- NPI
- 1962481168
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 90142 (GA)
- Practice address
- 1266 Highway 515 S
Jasper, GA 30143-4872 - Phone
- (404) 367-3014
- NPI assigned
- Jan 16, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Hospitalist
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Piedmont Hospitalist Physicians LLC
Cogent Healthcare of Georgia PC
Practice addresses (Care Compare)
1266 Hwy 515 S
Jasper, GA 30143-4872
Phone (706) 253-6985
4700 Waters Ave
Savannah, GA 31404-6220
Phone (912) 350-8000
Hospital & facility affiliations
- Interim Healthcare of Atlanta Inc
- Piedmont Hospital, Inc
- Piedmont Cartersville Medical Center
- Savannah Health Services LLC Dba Memorial Health University Medical Center
- Piedmont Newton Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.79 of 100
- Quality
- 98.74
- Improvement activities
- 40
- Cost
- 83.11
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OH, GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140813002242 | OH | Practitioner - Internal Medicine | 1658385638 | Reassigns benefits to 4 organizations |
| I20220310001930 | GA | Practitioner - Hospitalist | 1658385638 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 90142 | GA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of Ohio, Professional Corporation | Internal Medicine | Current |
Accepting new patients |
| Cogent Healthcare of Georgia PC | Internal Medicine | Current |
Accepting new patients |
| Piedmont Hospitalist Physicians LLC | Internal Medicine | Current |
Accepting new patients |
| Usacs Integrated Acute Care Services of Ohio, LLC | Internal Medicine | Current |
Accepting new patients |
| Inpatient Medical Services, Inc. | Internal Medicine | Current |
Accepting new patients |
| Licking Memorial Professional Corp. | Past | Accepting new patients | |
| Cartersville Medical Center LLC | Past | Accepting new patients | |
| Piedmont Hospital, Inc | Past | Accepting new patients |
Locations
35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000
1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222
1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500
1266 Highway 515 S
Jasper, GA 30143
Phone (706) 301-5350
4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100
2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919
11100 Euclid Ave
Cleveland Heights, OH 44106
6001 E Broad St
Columbus, OH 43213
Phone (614) 224-6420
6847 N Chestnut St
Ravenna, OH 44266
Phone (330) 296-9606
100 Medical Center Dr
Springfield, OH 45504
Phone (937) 523-1000
500 S Cleveland Ave
Westerville, OH 43081
Phone (380) 898-4000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 90142 | GA | |
| Internal Medicine Physician | 207R00000X | 90142 | GA | Yes |
Addresses
Primary practice location
1266 Highway 515 S
Jasper, GA 30143-4872
Mailing address
945 Bethesda Drive
Suite 200
Zanesville, OH 43701-1880
Phone (740) 454-4788
Other practice location 1
800 Forest Ave
Room 6048.1
Zanesville, OH 43701-2821
Phone (740) 454-5398
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 148819-01 | Medicaid | AZ |
Other providers in Jasper, GA
- Amy Elizabeth Allen
- Brian Enver Alli
- Amedisys Northwest, L.L.C.
- Jeanne Frances Anderson
- Patricia Lesli Anderson
- Appalachian Hospice South LLC
- Appalachian Hospice South LLC
- Kelly Araim
- Katie Lee Arnold
- Ashley Arnwine
All providers in Jasper, GA · Internal Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.