Active NPI
Sitwat Mahmood
- General Practice Dentistry
- Cumming, GA
National Provider Identifier
1003552076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN122795
- Practice address
- 1200 Bald Ridge Marina Rd Ste 200
Cumming, GA 30041-8526 - Phone
- (770) 781-8650
- Fax
- (470) 297-3863
- NPI assigned
- May 11, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN122795 | GA | Primary |
Addresses
Primary practice location
1200 Bald Ridge Marina Rd Ste 200
Cumming, GA 30041-8526
Mailing address
2910 Harbor Creek CT
Cumming, GA 30041-9382
Phone (404) 859-5715
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cumming Dental Associates | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660003200000",
"number": "1003552076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2910 HARBOR CREEK CT",
"city": "CUMMING",
"state": "GA",
"postal_code": "300419382",
"telephone_number": "404-859-5715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 BALD RIDGE MARINA RD STE 200",
"city": "CUMMING",
"state": "GA",
"postal_code": "300418526",
"telephone_number": "770-781-8650",
"fax_number": "470-297-3863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHMOOD",
"first_name": "SITWAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-11",
"last_updated": "2022-08-09",
"certification_date": "2022-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN122795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.