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MALI KHAMISSI SOBI
NPI 1831622984
Family Medicine in Austell, GA

Active since April 05, 2017PECOS Enrolled
4787 AUSTELL RD, AUSTELL, GA 30106(770) 875-6870 Get Directions Write a Review

NPPES record last updated: October 13, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mali Khamissi Sobi NPPES

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

MALI KHAMISSI SOBI (NPI 1831622984) is an individual family medicine provider in Austell, Georgia, licensed in Georgia (82852) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1831622984
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMALI KHAMISSI SOBI
Location Address4787 AUSTELL RDAustell, GA 30106-2001
Mailing Address1268 Ridgecrest Ln Se, Apt/suiteSmyrna, GA 30080-2664 · (770) 875-6870
Phone(770) 875-6870
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateApril 5, 2017
Last NPPES UpdateOctober 13, 2020
NPPES CertifiedOctober 13, 2020
✔ NPI 1831622984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 82852
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4787 AUSTELL RD, Austell, GA 30106
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Other Identifiers 1

Other82852GA · Ga Medical License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mali Khamissi Sobi is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002249372
PECOS Enrollment IDI20191130000050
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

2

Medicare enrollment records show Mali Khamissi Sobi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

A Plus Clinic
Same address
Family Medicine
4787 AUSTELL RD
Austell, GA 30106
  • Reassigned Medicare billing, Georgia enrollment
NPI 1477158541 (770) 875-6870
Medical Office Force
70 mi
Internal Medicine
2005 PRINCE AVENUE
Athens, GA 30606
  • Reassigned Medicare billing, Georgia enrollment
  • 30 clinicians in this Medicare group
NPI 1508378613 (706) 208-9700

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 10

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
160 services13 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
77 services21 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
48 services13 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
45 services21 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
36 services19 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
30 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30106 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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

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

A PLUS CLINIC
Family Medicine
4787 AUSTELL RD
AUSTELL, GA 30106
Cobb County (770) 875-6870

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 Mali Khamissi Sobi's NPI number?

The NPI number for Mali Khamissi Sobi is 1831622984. It was assigned to this individual provider in the NPPES registry on April 5, 2017.

Where is Mali Khamissi Sobi located?

Mali Khamissi Sobi practices at 4787 Austell Rd, Austell, GA 30106. The listed phone number is (770) 875-6870.

What is Mali Khamissi Sobi's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mali Khamissi Sobi enrolled in Medicare?

Yes. Mali Khamissi Sobi is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mali Khamissi Sobi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mali Khamissi Sobi reassigns Medicare benefits to 2 organizations: A Plus Clinic (Austell, GA) and Medical Office Force (Athens, GA). 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 Mali Khamissi Sobi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mali Khamissi Sobi accept?

Health plans from Alliant Health Plans, Inc. list Mali Khamissi Sobi 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.

When was this NPI record last updated?

The NPPES record for Mali Khamissi Sobi was last updated on October 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.