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Export Provider Record NPI 1275582058
Mourad Aziz NessimMD
Active
NPI Number1275582058
NPI TypeNPI-1 Individual
SpecialtyInternal Medicine
Provider Details
NPI1275582058
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2006-05-09
Last Updated2025-07-10
Mailing Address221 Technology Pkwy Nw
Rome, GA 30165-1369
United States
Phone: (762) 235-1000
📍 View Map
Primary Practice Address1825 Martha Berry Blvd Nw
Rome, GA 30165-1625
United States
Phone: (706) 295-5331
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDGA000887708M-
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207R00000X – Internal MedicineGA048682
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About NPI 1275582058

Mourad Aziz Nessim MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1275582058. The primary specialty listed is Internal Medicine. The provider is located in Rome, GA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-05-09. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1275582058?

NPI 1275582058 belongs to Mourad Aziz Nessim MD, a Internal Medicine in Rome, GA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1275582058 active?

The current status of NPI 1275582058 in the NPPES registry is Active. The record was last updated on 2025-07-10.

What specialty is NPI 1275582058?

NPI 1275582058 is classified under the taxonomy Internal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1275582058?

You can verify NPI 1275582058 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1275582058?

The primary practice address on file for NPI 1275582058 is 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1275582058 issued?

NPI 1275582058 was first issued (enumerated) on 2006-05-09. The NPPES record was last updated on 2025-07-10.

Practice Location Map

Mourad Aziz Nessim is located at 1825 Martha Berry Blvd Nw, Rome, GA. Use the map below to find directions or verify the practice location.

📍 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Mourad Aziz Nessim. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1275582058. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Internal Medicine048682GA
Data Verified from CMS NPPES Last synced: 2026-07-30 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162