DR. MOHAMMED HISHAM OBEIDIN (M.D.) – Surgery Physician, NPI 1104987056

DR. MOHAMMED HISHAM OBEIDIN (M.D.) is a healthcare provider. based in Athens, Georgia. specializing in Surgery Physician. They hold the professional credentials M.D.. They hold a License No. 036838 (GA). The NPI Number for DR. MOHAMMED HISHAM OBEIDIN (M.D.) is 1104987056

Main info

Male
Sole Proprietor
53 Years Of Experience
Accepts Medicare Assignment
Name
DR. MOHAMMED HISHAM OBEIDIN (M.D.)
NPI
1104987056
Phone
(706) 548-0991
Address
740 PRINCE AVE STE 14
Enumeration Date
13 December 2006
Last Update Date
18 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7064755076
Graduation Year
1973 (53 years ago)
PAC ID
5395816177
Group Practice PAC ID
6305196411
Professional Enrollment ID
I20080623000208
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for DR. MOHAMMED HISHAM OBEIDIN (M.D.)

  • 740 PRINCE AVE STE 14

    ATHENS, GA 306065903

    Phone: (706) 548-0991

    Fax: (706) 548-0184

    Type: Mailing

  • 740 PRINCE AVE BUILDING 14

    ATHENS, GA 306065903

    Phone: (706) 548-0991

    Fax: (706) 548-0184

    Type: Location

  • 1010 PRINCE AVE STE 400

    ATHENS, GA 306065805

    Phone: (706) 425-1400

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-06-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080623000208IGeneral SurgeryGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99204New patient office or other outpatient visit, 45-59 minutes2727$0
99213Established patient office or other outpatient visit, 20-29 minutes1918$0
99203New patient office or other outpatient visit, 30-44 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 30606)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6305196411View full group profile
NameSpecialtyState
Psychiatry, Neurology, NephrologyFL
Nurse PractitionerGA
Nurse PractitionerGA
Internal MedicineGA
N E U R O L O G YOR
Hospitalist, Internal MedicineAZ
Nurse PractitionerGA
Hospitalist, Internal MedicineGA
-KY
Internal MedicineGA

Reviews

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Frequently asked questions

Can I verify DR. MOHAMMED HISHAM OBEIDIN (M.D.) with an NPI only?
You can start verification with NPI 1104987056 for DR. MOHAMMED HISHAM OBEIDIN (M.D.), then check state licensing separately.
Can I rely on DR. MOHAMMED HISHAM OBEIDIN (M.D.) being an active provider?
As of the registry snapshot, DR. MOHAMMED HISHAM OBEIDIN (M.D.) is marked active.
What taxonomy line describes DR. MOHAMMED HISHAM OBEIDIN (M.D.)?
For research purposes, treat DR. MOHAMMED HISHAM OBEIDIN (M.D.) as Surgery Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does DR. MOHAMMED HISHAM OBEIDIN (M.D.) list a practice location?
Patients near Athens, Georgia may find DR. MOHAMMED HISHAM OBEIDIN (M.D.) in results; validate coverage separately.
Why does DR. MOHAMMED HISHAM OBEIDIN (M.D.) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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