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MOHAMAD NIDAL HALWANI DO
NPI 1043004112
Student in an Organized Health Care Education/Training Program in Gainesville, GA

Active since April 05, 2025PECOS Enrolled
1439 JESSE JEWELL PKWY NE STE 202, GAINESVILLE, GA 30501(770) 219-0023 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 19, 2025, Apr 5, 2025 (2 updates tracked since 2025).

About Mohamad Nidal Halwani Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOHAMAD NIDAL HALWANI DO (NPI 1043004112) is an individual student in an organized health care education/training program in Gainesville, Georgia and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043004112
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMOHAMAD NIDAL HALWANICredential: DO
Location Address1439 JESSE JEWELL PKWY NE STE 202Gainesville, GA 30501-3806
Mailing Address1439 Jesse Jewell Pkwy Ne Ste 202Gainesville, GA 30501-3806
Phone(770) 219-0023
Sole ProprietorNo
Enumeration DateApril 5, 2025
Last NPPES UpdateJune 19, 20252 updates tracked since enumeration
NPPES CertifiedJune 19, 2025
✔ NPI 1043004112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1439 JESSE JEWELL PKWY NE STE 202, Gainesville, GA 30501
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mohamad Nidal Halwani Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAMERON JEFFERY CHAPPELL DO
Student in an Organized Health Care Education/Training Program
1439 JESSE JEWELL PKWY NE STE 202
GAINESVILLE, GA 30501
Hall County (770) 219-9676
YUHYUN KANG DO
Student in an Organized Health Care Education/Training Program
1439 JESSE JEWELL PKWY NE STE 202
GAINESVILLE, GA 30501
Hall County (770) 219-9675
MOHAMED AZIZ NEFZI DO
Student in an Organized Health Care Education/Training Program
1439 JESSE JEWELL PKWY NE STE 202
GAINESVILLE, GA 30501
Hall County (770) 291-0023
TEWOBESTA FESSEHA TESFAYE MD
Student in an Organized Health Care Education/Training Program
1439 JESSE JEWELL PKWY NE STE 202
GAINESVILLE, GA 30501
Hall County (770) 219-9675
DANNY XIAO
Student in an Organized Health Care Education/Training Program
1439 JESSE JEWELL PKWY NE STE 202
GAINESVILLE, GA 30501
Hall County (770) 219-9675
MEHAK ZAINAB D.O.
Student in an Organized Health Care Education/Training Program
1439 JESSE JEWELL PKWY NE STE 202
GAINESVILLE, GA 30501
Hall County (770) 219-9676
JIAQI MI MD
Internal Medicine
1439 JESSE JEWELL PKWY NE STE 202
GAINESVILLE, GA 30501
Hall County (770) 219-0023
TONYA CHANG
Student in an Organized Health Care Education/Training Program
1439 JESSE JEWELL PKWY NE STE 202
GAINESVILLE, GA 30501
Hall County (770) 219-9675

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mohamad Halwani's NPI number?

The NPI number for Mohamad Halwani is 1043004112. It was assigned to this individual provider in the NPPES registry on April 5, 2025.

Where is Mohamad Halwani located?

Mohamad Halwani practices at 1439 Jesse Jewell Pkwy NE Ste 202, Gainesville, GA 30501. The listed phone number is (770) 219-0023.

What is Mohamad Halwani's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mohamad Halwani enrolled in Medicare?

Yes. Mohamad Halwani is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mohamad Halwani was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.