Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Maaz Ahmed Ghouri

Individual provider Vascular & Interventional Radiology Physician · NPI 1154857514

Dr. Maaz Ahmed Ghouri is a Diagnostic Radiology in Augusta, Georgia. Qualified in 2003, 23 years ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group and accepts Medicare assignment. Licensed in Georgia, Missouri and Texas.

Years since qualifying
23
Licensed in
GA, MO, TX
In the registry since
2017
Specialties on file
6

Practice location Address checks out

1120 15th St
Augusta, GA 30912-0004
Phone: (706) 721-8623
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence 102316 (GA)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence 2023024861 (MO)
Pediatric Radiology Physician Taxonomy 2085P0229X · Licence 2023024861 (MO)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence 47401 (TX)
Pediatric Radiology Physician Taxonomy 2085P0229X · Licence 47710 (TX)
Body Imaging Physician Taxonomy 2085B0100X · Licence 47710 (TX)

Record details

NPI number1154857514
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 4, 2017
Last updated in NPPESApril 23, 2026
Certification dateApril 23, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Wellstar Medical Group Llc — 3072 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Augusta