Individual provider Active NPI

Ahmed Mohamed Refaat Dakhly Mohamed, M.B.B.C.H

  • Diagnostic Radiology Physician
  • Augusta, GA
National Provider Identifier
1992257497
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
89806 Issued in GA
Practice address
1120 15TH St
Augusta, GA 30912-3325
Phone
(706) 721-8623
NPI assigned
Oct 31, 2016
Last updated
Apr 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X D0101754 MD
Diagnostic Radiology Physician 2085R0202X 89806 GA Primary

Addresses

Primary practice location

1120 15TH St
Augusta, GA 30912-3325

Mailing address

1120 15TH St Ste Bi-1056
Augusta, GA 30912-0004
Phone (706) 721-8623

Other identifiers 1

IdentifierTypeStateIssuer
89806OtherGAGA MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL, PA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20210809002676 GA Practitioner - Diagnostic Radiology 4587921721 Reassigns benefits to 1 organization
I20250319004138 FL Practitioner - Diagnostic Radiology 4587921721 Reassigns benefits to 3 organizations
I20250502001630 PA Practitioner - Diagnostic Radiology 4587921721 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0101754MDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Associates in Healthcare, Inc Diagnostic Radiology CurrentSince Feb 27, 2025 Accepting new patients
Au Medical Associates Inc CurrentSince Aug 2, 2021 Accepting new patients
Meritus Medical Center Inc Diagnostic Radiology CurrentSince Jan 17, 2025 Accepting new patients
Au Health Imaging, LLC Diagnostic Radiology CurrentSince Aug 10, 2021 Accepting new patients
Butler Imaging and Interventional Associates LLC Diagnostic Radiology CurrentSince Jan 15, 2026 Accepting new patients
Cambria Somerset Radiology & Nuclear Medicine Group, Inc. Diagnostic Radiology CurrentSince Apr 1, 2025 Accepting new patients
Methodist Associates in Healthcare, Inc CurrentSince Feb 27, 2025 Accepting new patients
Au Medical Associates Inc CurrentSince Aug 2, 2021 Accepting new patients

Locations

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

1120 15th St
Ste BI1056
Augusta, GA 30912
Phone (706) 721-2785

11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600

239 Main St
Ste 440
Johnstown, PA 15901

1101 Market St
Fl 19
Philadelphia, PA 19107
Phone (215) 481-6836

2301 S Broad St
Ste 102
Philadelphia, PA 19148
Phone (215) 952-5175

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1992257497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 15TH ST STE BI-1056",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120004",
            "telephone_number": "706-721-8623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 15TH ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309123325",
            "telephone_number": "706-721-8623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMED",
        "first_name": "AHMED MOHAMED",
        "middle_name": "REFAAT DAKHLY",
        "credential": "M.B.B.C.H",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-31",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0101754",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "89806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA MEDICAL LICENSE",
            "identifier": "89806",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.