Alexander Lucah Mostovych, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

17251 Issued in GA

Practice address

3200 Downwood Cir NW Ste 640-4
Atlanta, GA 30327-1610

Phone

(904) 945-3283

NPI assigned

Mar 27, 2023

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1063115111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 SEAL PL NE UNIT B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303081817",
            "telephone_number": "904-945-3283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 DOWNWOOD CIR NW STE 640-4",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303271610",
            "telephone_number": "904-945-3283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSTOVYCH",
        "first_name": "ALEXANDER",
        "middle_name": "LUCAH",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-27",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "GA",
            "license": "17251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven G Moss, MD
• Tara Marie Moss, PAA
• Tricia Moss, MD
• Julie Mossbarger, OT
• Ashley Mossy, LPC
• Mario Mosunjac, M.D.
• Varun Vijayaraghavan Mosur
• Morgan Brittany Moszee, CRNA
• Nary Motahar-Ford, M.D.
• Regine Moten, PHARMD

• Plastic Surgery Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Plastic Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.