Mahmoud Ahmed
Individual provider Active NPI Hospitalist Physician · Stockbridge, GA
NPI 1982157400 · NPPES record last updated Jul 13, 2022
Key facts
- NPI
- 1982157400
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- 91367 (GA)
- Practice address
- 1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085 - Phone
- (404) 367-3014
- NPI assigned
- Aug 2, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Piedmont Hospitalist Physicians LLC
Practice addresses (Care Compare)
1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone (404) 605-5000
Hospital & facility affiliations
- Piedmont Henry Hospital
- Piedmont Hospital, Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in RI, GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190510002118 | RI | Practitioner - Internal Medicine | 6002151461 | Reassigns benefits to 2 organizations |
| I20220628002133 | GA | Practitioner - Internal Medicine |
6002151461 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifespan Physician Group, Inc. | Current |
Accepting new patients | |
| Piedmont Athens Hospitalist Physicians LLC | Internal Medicine | Current |
Accepting new patients |
| Lifespan Physician Group, Inc. | Current |
Accepting new patients | |
| Piedmont Hospitalist Physicians LLC | Internal Medicine | Current |
Accepting new patients |
| Piedmont Henry Hospital, Inc. | Past | Accepting new patients | |
| Piedmont Athens Specialty Care LLC | Past | Accepting new patients |
Locations
1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520
35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000
1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222
1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000
185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050
117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318
164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD16603 | RI | |
| Internal Medicine Physician | 207R00000X | 91367 | GA | |
| Hospitalist Physician | 208M00000X | 91367 | GA | Yes |
Addresses
Primary practice location
1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085
Mailing address
117 Ellenfield St Ste 101
Providence, RI 02905-4513
Phone (401) 444-6779
Other practice location 1
1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 705-2511
Other practice location 2
164 Summit Ave
Providence, RI 02906
Phone (401) 793-4489
Other practice location 3
1199 Prince Ave
Athens, GA 30606-2797
Phone (706) 475-5076
Other providers in Stockbridge, GA
- Advanced Women'S Care Center
- Advocacy Healthcare Adult Medicine
- Aegis Group Practice, LLC
- Affordable Dentures - Stockbridge, P.C.
- Aly Abbas Ahmed
- Serah N Ahuruonye
- Aica Orthopedics, P. C.
- Aica Orthopedics, P.C.
- Lamees Aisami
- Candace M Ajose-Adeogun
All providers in Stockbridge, GA · Hospitalist 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 Jul 13, 2022. 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.