NPI age
— years
Enumerated 2025-06-26
● Active
Type 1 · Individual
Ibtisam Mohammad
Mohammad is 1 of 39 otolaryngology providers in Augusta and 1 of 450 in Georgia.
Primary specialty
Otolaryngology
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-06-26
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 450 active otolaryngology providers in Georgia.
NPI age
0 years
↓ 19 yr below median (19 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
0
30% of peers hold subspecialties
NPI lifetime · 2025 → 2026
2025-06Enumerated in NPPES
2025
2026
Where they practice
Practice location
1120 15th St # Bp-4109
Augusta, GA 309120006
Mailing address
1120 15th St # Bp-4109
Augusta, GA 309120006
Specialties
-
Otolaryngology PrimaryAn otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures...
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
Recently enumerated nearby: 1 new otolaryngology provider has been added in Augusta in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.