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

Dr. Mohammed Jaafar Atta Al Fayyadh, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1912342841

Dr. Mohammed Jaafar Atta Al Fayyadh, MD is a General Surgery in Canton, Georgia. Qualified in 2009, 17 years ago. Practices with Northside Surgical Professional Services LLC, a 368-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
17
Licensed in
GA
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Canton, GA
Fax: (404) 252-5745

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 84831 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1912342841
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 6, 2013
Last updated in NPPESApril 7, 2021
Certification dateApril 7, 2021

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Northside Surgical Professional Services Llc — 368 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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