HESAMOLDIN KHODADADI CHAMGORDANI MD
NPI 1477282648
Psychiatry & Neurology - Neurology in Augusta, GA
About Hesamoldin Khodadadi Chamgordani Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HESAMOLDIN KHODADADI CHAMGORDANI MD (NPI 1477282648) is an individual neurology provider in Augusta, Georgia, licensed in Georgia (13797) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Hesamoldin Khodadadi Chamgordani Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Hesamoldin Khodadadi Chamgordani reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Roswell, GA 30076
- Reassigned Medicare billing, Georgia enrollment
- 3,885 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
AUGUSTA, GA 30912
AUGUSTA, GA 30912
AUGUSTA, GA 30912
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 Hesamoldin Khodadadi Chamgordani's NPI number?
The NPI number for Hesamoldin Khodadadi Chamgordani is 1477282648. It was assigned to this individual provider in the NPPES registry on June 6, 2022.
Where is Hesamoldin Khodadadi Chamgordani located?
Hesamoldin Khodadadi Chamgordani practices at 1459 Laney Walker Blvd, Augusta, GA 30912. The listed phone number is (706) 721-4581.
What is Hesamoldin Khodadadi Chamgordani's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Hesamoldin Khodadadi Chamgordani enrolled in Medicare?
Yes. Hesamoldin Khodadadi Chamgordani is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Hesamoldin Khodadadi Chamgordani's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Hesamoldin Khodadadi Chamgordani reassigns Medicare benefits to Wellstar Medical Group, LLC (Roswell, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Hesamoldin Khodadadi Chamgordani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Hesamoldin Khodadadi Chamgordani was last updated on June 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Hesamoldin Khodadadi Chamgordani, MD · NPI 1477282648
Neurology physician in Augusta, Georgia. Individual provider, active in the CMS NPPES registry since June 6, 2022.
## Identity
- **NPI:** 1477282648 (Entity type: Individual)
- **Enumerated:** June 6, 2022
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **State license:** 13797 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1459 LANEY WALKER BLVD, Augusta, GA 30912-0002
- **Phone:** (706) 721-4581
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Wellstar Medical Group, LLC (NPI 1922405729, Roswell, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** June 6, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1477282648) · Data from the CMS NPPES public registry.