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

Mahboubeh Pishgou

Individual provider Physician Assistant · NPI 1770907693

Mahboubeh Pishgou is a Physician Assistant in Augusta, Georgia. Qualified in 2013, 13 years ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group and accepts Medicare assignment.

Years since qualifying
13
In the registry since
2014
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1120 15th St
Augusta, GA 30912-0004
Phone: (706) 721-2971
Fax: (706) 721-7248
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1770907693
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 12, 2014
Last updated in NPPESJanuary 6, 2017
Mailing address1120 15th St, Augusta, GA 30912-0004

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Wellstar Medical Group Llc — 3072 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Augusta