Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1356239305 Individual Practitioner Female Practitioner

Ibtisam Mohammad

Otolaryngology • Augusta, GA

Professional Overview & Biography Verified Profile Summary

Ibtisam Mohammad is a registered healthcare professional specializing in Otolaryngology in Augusta, GA. Practice services are available at 1120 15TH ST # BP-4109 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1120 15th St # Bp-4109

Augusta, GA 309120006

Telephone 7067216100
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Otolaryngology in Augusta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.7 Yrs
State Avg: 26.4 Yrs
Regional Practice Density
39 Specialists

Practicing in Augusta, GA (363 Statewide)

Telehealth Adoption Rate
5.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-06-26
Otolaryngology Primary Specialty

NUCC Taxonomy Code: 207Y00000X

State License GA 18013

An 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 of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
NPI 1023807575

Doctor of Medicine (M.D.)

Dr. Lillian Day , MD

Otolaryngology

NPI 1063261071

Doctor of Medicine (M.D.)

NPI 1083390066

Doctor of Medicine (M.D.)

NPI 1114678471

Doctor of Medicine (M.D.)

Dr. Amani Obeid , MD

Otolaryngology

NPI 1376900258

Doctor of Medicine (M.D.)

NPI 1437532967

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 26, 2025

NPI status registered as active in NPPES database

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Updated Practice Location June 26, 2025

Registered at 1120 15TH ST # BP-4109, AUGUSTA, GA 309120006 (Tel: 7067216100)

📍
Updated Business Mailing Address June 26, 2025

Registered at 1120 15TH ST # BP-4109, AUGUSTA, GA 309120006 (Tel: 7067216100)

👤
Provider Name / Credentials Updated June 26, 2025

Recorded as IBTISAM MOHAMMAD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 26, 2025

Otolaryngology (License #18013 in GA)

🟢
Initial NPI Registration & Enumeration June 26, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356239305
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 26, 2025
Last Update: June 26, 2025
Sole Proprietor: No

Mailing Address

1120 15th St # Bp-4109

Augusta, GA 309120006

Phone: 7067216100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.