Individual provider Active NPI

Rahamat Mansaray, MD

  • Pediatric Sleep Medicine Physician
  • Atlanta, GA
National Provider Identifier
1114589264
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Sleep Medicine PhysicianTaxonomy code 2080S0012X
License
97809 Issued in GA
Practice address
859 Mount Vernon Hwy NE Ste 300
Atlanta, GA 30328-4255
Phone
(404) 785-0588
NPI assigned
Jun 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4351045668 MI
Pediatric Sleep Medicine Physician 2080S0012X 97809 GA Primary

Addresses

Primary practice location

859 Mount Vernon Hwy NE Ste 300
Atlanta, GA 30328-4255

Mailing address

859 Mount Vernon Hwy NE Ste 300
Atlanta, GA 30328-4255
Phone (404) 785-0588

Other names 1

  • Rahamat Odunsi Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OH, GA, TN4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20250530003111 CA Practitioner - Sleep Medicine 5294063665 Reassigns benefits to 2 organizations
I20260212003341 OH Practitioner - Sleep MedicinePractitioner - Pediatric Medicine 5294063665 Reassigns benefits to 1 organization
I20260218000011 GA Practitioner - Sleep MedicinePractitioner - Pediatric Medicine 5294063665 Reassigns benefits to 1 organization
I20260310004893 TN Practitioner - Sleep MedicinePractitioner - Pediatric Medicine 5294063665 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sleep MedicineAlso: Pediatric Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sliiip Medical Group P aGroup PAC ID 8426469826, 14 clinicians
Puja Thakkar DO Medical CorporationGroup PAC ID 8325317209, 7 clinicians

Practice addresses (Care Compare)

212 Ga Hwy 49 N
Suite 1900
Byron, GA 31008-4059
Phone (478) 238-3552

2222 Camino Ramon
San Ramon, CA 94583-1350
Phone (925) 820-4472

39055 Hastings St
Suite 106
Fremont, CA 94538-1518
Phone (925) 820-4472

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
97809GAMDPediatric Sleep Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Puja Thakkar, D.O., Medical Corporation CurrentSince Jun 1, 2025 Accepting new patients
Sliiip Medical Group P a Sleep Medicine CurrentSince Apr 1, 2026 Accepting new patients
Sliiip Medical Group of California PC CurrentSince Apr 1, 2026 Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients
Choa Multispecialty, LLC Pediatrics PastSince Nov 19, 2023 Accepting new patients

Locations

400 El Cerro Blvd
Ste 107
Danville, CA 94526
Phone (925) 820-4472

2505 Lucas St
#B
Eureka, CA 95501
Phone (707) 442-0400

39055 Hastings St
Ste 106
Fremont, CA 94538
Phone (510) 789-3368

212 GA Highway 49 N
Ste 1900
Byron, GA 31008

6397 Emerald Pkwy
Ste 210
Dublin, OH 43016
Phone (614) 379-1490

Organizations & group practices 5

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": "1561680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1114589264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "859 MOUNT VERNON HWY NE STE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284255",
            "telephone_number": "404-785-0588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 MOUNT VERNON HWY NE STE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284255",
            "telephone_number": "404-785-0588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSARAY",
        "first_name": "RAHAMAT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-28",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4351045668",
            "primary": false
        },
        {
            "code": "2080S0012X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sleep Medicine",
            "state": "GA",
            "license": "97809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAHAMAT",
            "last_name": "ODUNSI",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.