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ALEXA MARIAM GHULAM MD
NPI 1154219616
Internal Medicine in Augusta, GA

Active since June 25, 2025PECOS Enrolled
1120 15TH STREET AUGUSTA, AUGUSTA, GA 30912(706) 721-4078 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Alexa Mariam Ghulam Md NPPES

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

ALEXA MARIAM GHULAM MD (NPI 1154219616) is an individual internal medicine provider in Augusta, Georgia, licensed in Georgia (17845) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154219616
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameALEXA MARIAM GHULAMCredential: MD
Location Address1120 15TH STREET AUGUSTAAugusta, GA 30912-0001
Mailing Address1120 15th Street AugustaAugusta, GA 30912-0001
Phone(706) 721-4078
Sole ProprietorNo
Enumeration DateJune 25, 2025
NPPES CertifiedJune 13, 2025
✔ NPI 1154219616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 17845
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1120 15TH STREET AUGUSTA, Augusta, GA 30912
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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)

Alexa Mariam Ghulam Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30912 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Alexa Ghulam's NPI number?

The NPI number for Alexa Ghulam is 1154219616. It was assigned to this individual provider in the NPPES registry on June 25, 2025.

Where is Alexa Ghulam located?

Alexa Ghulam practices at 1120 15th Street Augusta, Augusta, GA 30912. The listed phone number is (706) 721-4078.

What is Alexa Ghulam's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Alexa Ghulam enrolled in Medicare?

Yes. Alexa Ghulam is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alexa Ghulam was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.