DR. CARMEN PATRICK MOHAN MD NPI 1770789083

NPI Information

NPI: 1770789083
Provider Name: DR. CARMEN PATRICK MOHAN, MD
Classification: Hospitalist - 208M00000X
Entity Type: Individual
PECOS Registration: Yes
Address: 1255 HIGHWAY 54 W
FAYETTEVILLE, GA
ZIP 30214
Phone: (770) 719-5630

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NPI Details

DR. Carmen Patrick Mohan, MD is a hospitalist in Fayetteville, GA. The provider is hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. DR. Carmen Patrick Mohan, MD NPI is 1770789083. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1255 HIGHWAY 54 W
FAYETTEVILLE, GA
ZIP 30214-526
Phone: (770) 719-5630
Fax: (770) 719-5629

The NPI 1770789083 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 6/23/2007 and was last updated on 3/27/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	207R00000X	Internal Medicine	232299	MASSACHUSETTS	No
2	207R00000X	Internal Medicine	64674	GEORGIA	No
3	208M00000X	Hospitalist	64674	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	232299	OTHER	MASSACHUSETTS	LIMITED LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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