Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. SASAN MAHMOUDI MD
NPI 1710515804
Internal Medicine in Wilson, NC

Q: What is Sasan Mahmoudi's NPI number?

The NPI number for Sasan Mahmoudi is 1710515804. It was assigned to this individual provider in the NPPES registry on April 1, 2020.

Q: What is Sasan Mahmoudi's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sasan Mahmoudi was last updated on September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days 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.

Active since April 01, 2020PECOS EnrolledAccepts Medicare Assignment

1705 TARBORO ST SW, WILSON, NC 27893(252) 399-8040 Get Directions Write a Review

NPPES record last updated: September 16, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 16, 2026, Jul 22, 2026, Aug 6, 2025 and 5 more (8 updates tracked since 2020).

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About Dr. Sasan Mahmoudi Md NPPES

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

DR. SASAN MAHMOUDI MD (NPI 1710515804) is an individual internal medicine provider in Wilson, North Carolina, licensed in North Carolina (2023-01993) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Jeff Davis Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1710515804

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. SASAN MAHMOUDICredential: MD

Location Address1705 TARBORO ST SWWilson, NC 27893-3428

Mailing Address1705 Tarboro St SwWilson, NC 27893-3428 · (252) 399-8040

Phone(252) 399-8040

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateApril 1, 2020

Last NPPES UpdateSeptember 16, 20268 updates tracked since enumeration

NPPES CertifiedSeptember 16, 2026

✔ NPI 1710515804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in NC · 2023-01993✔ Licensed in GA · 113271

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.

Also ListedHospitalistTaxonomy 208M00000X · License 2023-01993 (NC)

1705 TARBORO ST SW, Wilson, NC 27893

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Secondary Practice Locations 4

Location 1163 S Tallahassee StHazlehurst, GA 31539-6465 · Phone (912) 375-7781

Location 2100 Airport Rd Fl 4Kinston, NC 28501-1604 · Phone (252) 522-7197 · Fax (252) 522-7288

Location 310000 Falls Of Neuse RdRaleigh, NC 27614-7838 · Phone (919) 350-8000

Location 4117 Kite RdSwainsboro, GA 30401-3231 · Phone (478) 289-1309

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sasan Mahmoudi Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961863683

PECOS Enrollment IDI20230727003517, I20260805002950

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.

Medicare Billing Reassignments

Medicare enrollment records show Sasan Mahmoudi reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Apogee Medical Group, North Carolina, P.C.

0.1 mi

Hospitalist

1705 TARBORO ST SW
Wilson, NC 27893

Reassigned Medicare billing, North Carolina enrollment
Medicare enrollment name: Apogee Medical Group North Carolina
278 clinicians in this Medicare group

NPI 1043518228 (252) 399-7410

Careclinik PC

0.3 mi

Internal Medicine

2303 WELLINGTON DR SW STE G
Wilson, NC 27893

Reassigned Medicare billing, North Carolina enrollment
2 clinicians in this Medicare group

NPI 1528886918 (607) 333-1919

Wakemed Specialists Group, LLC

28 mi

Pediatric Pulmonology

104 MEDSPRING DR
Clayton, NC 27520

Reassigned Medicare billing, North Carolina enrollment
997 clinicians in this Medicare group

NPI 1407409543 (919) 235-6535

Vidant Medical Group LLC

31 mi

Multi-Specialty

2100 STANTONSBURG RD
Greenville, NC 27834

Reassigned Medicare billing, North Carolina enrollment
1,653 clinicians in this Medicare group

NPI 1477648731 (252) 847-2181

Unc Physicians Network, LLC

31 mi

Family Medicine

6905 KNIGHTDALE BLVD, SUITE #106
Knightdale, NC 27545

Reassigned Medicare billing, North Carolina enrollment
1,337 clinicians in this Medicare group

NPI 1023397171 (919) 261-8760

Carteret County General Hospital Corporation

96 mi

Urgent Care

3722 BRIDGES ST, SUITE A
Morehead City, NC 28557

Reassigned Medicare billing, North Carolina enrollment
283 clinicians in this Medicare group

NPI 1184951840 (252) 808-6136

Rural Physicians Group-Pannu PLLC

1,496 mi

Hospitalist

5575 DTC PKWY STE 225
Greenwood Village, CO 80111

Reassigned Medicare billing, Georgia enrollment
29 clinicians in this Medicare group

NPI 1891236584 (303) 390-1924

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

726 services222 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

125 services123 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

94 services94 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

32 services23 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

14 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jeff Davis Hospital

Critical Access Hospitals · Hazlehurst, GA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number111333

Location163 South Tallahassee StreetHazlehurst, GA 31539 · Jeff Davis County

Emergency services

Wilson Medical Center

Acute Care Hospitals · Wilson, NC

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340126

Location1705 S Tarboro StWilson, NC 27893 · Wilson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27893 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

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.

COASTAL PLAINS PATHOLOGY PA

Pathology (Anatomic Pathology & Clinical Pathology)

1705 TARBORO ST SW
WILSON, NC 27893

Wilson County (252) 399-8703

KONDAL RAO MADARAM MD

Psychiatry & Neurology (Psychiatry)

1705 TARBORO ST SW
WILSON, NC 27893

Wilson County (252) 399-7057

SHANNON VASILINDA RDN, LDN

Dietitian, Registered

1705 TARBORO ST SW
WILSON, NC 27893

Wilson County (252) 399-8767

GAVIN SNYDER P.A.

Physician Assistant

1705 TARBORO ST SW, WILSON MEDICAL CENTER
WILSON, NC 27893

Wilson County (252) 399-8558

MRS. SHANNON BYRD JACKSON RD, LDN

Dietitian, Registered

1705 TARBORO ST SW
WILSON, NC 27893

Wilson County (252) 399-8768

MS. TRACY BOWMAN PA

Physician Assistant (Medical)

1705 TARBORO ST SW
WILSON, NC 27893

Wilson County (252) 399-8928

APOGEE MEDICAL GROUP, NORTH CAROLINA, P.C.

Hospitalist

1705 TARBORO ST SW
WILSON, NC 27893

Wilson County (252) 399-7410

VAUGHN MITCHELL MATACALE M.D.

Specialist

1705 TARBORO ST SW
WILSON, NC 27893

Wilson County (252) 399-8040

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 Sasan Mahmoudi's NPI number?

The NPI number for Sasan Mahmoudi is 1710515804. It was assigned to this individual provider in the NPPES registry on April 1, 2020.

Where is Sasan Mahmoudi located?

Sasan Mahmoudi practices at 1705 Tarboro St SW, Wilson, NC 27893. The listed phone number is (252) 399-8040.

What is Sasan Mahmoudi's specialty?

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

Is Sasan Mahmoudi enrolled in Medicare?

Yes. Sasan Mahmoudi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Sasan Mahmoudi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sasan Mahmoudi reassigns Medicare benefits to 7 organizations: Apogee Medical Group, North Carolina, P.C. (Wilson, NC), Careclinik PC (Wilson, NC), Wakemed Specialists Group, LLC (Clayton, NC), Vidant Medical Group LLC (Greenville, NC), Unc Physicians Network, LLC (Knightdale, NC) and 2 more organizations, listed in the Medicare section above. Each 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 Sasan Mahmoudi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sasan Mahmoudi accept?

Health plans from Cigna Healthcare list Sasan Mahmoudi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sasan Mahmoudi affiliated with any hospitals?

According to CMS data, Sasan Mahmoudi is affiliated with Jeff Davis Hospital and Wilson Medical Center.

When was this NPI record last updated?

The NPPES record for Sasan Mahmoudi was last updated on September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days 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.