Individual provider Active NPI

Ahmed Moussa, MD

  • Family Medicine Physician
  • Lagrange, GA
National Provider Identifier
1194989285
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
67263 Issued in GA
Practice address
1514 Vernon Rd
Lagrange, GA 30240-4131
Phone
(706) 812-2369
NPI assigned
Jul 17, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 067263 GA
Family Medicine Physician 207Q00000X MD.30472 AL
Family Medicine Physician 207Q00000X 67263 GA Primary
Emergency Medicine Physician 207P00000X 16702 NV

Addresses

Primary practice location

1514 Vernon Rd
Lagrange, GA 30240-4131

Mailing address

1514 Vernon Rd
Lagrange, GA 30240-4131
Phone (770) 874-5400

Other practice location 1

850 5th Ave E
Tuscaloosa, AL 35401-7419
Phone (205) 348-1770 ext. 1249

Other names 1

  • Ahmed Abou Zeid Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amoussa163603@directwellstar.org

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130918000234 GA Practitioner - Emergency Medicine 3072796960 Reassigns benefits to 13 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellstreet of Georgia PCGroup PAC ID 7517126279, 425 clinicians
City of Hope Medical Group of Georgia LLCGroup PAC ID 4880841212, 137 clinicians

Practice addresses (Care Compare)

1825 Hwy 34 E
Suite 1200
Newnan, GA 30265-6416
Phone (770) 502-2121

600 Celebrate Life Pkwy
Newnan, GA 30265-8001
Phone (770) 400-6080

770 Greison TRL H
Newnan, GA 30263-6401
Phone (770) 252-5420

Hospital & facility affiliations

  • Gentiva Hospice, Stockbridge, GA, CCN 111528
  • Amedisys Hospice Care of Newnan Hospice, Newnan, GA, CCN 111685
  • Southeastern Regional Medical Center, Inc Hospital, Newnan, GA, CCN 110233
  • Southern Regional Medical Center Hospital, Riverdale, GA, CCN 110165

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16702NVMDEmergency Medicine Physician
67263GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC CurrentSince Apr 1, 2020 Accepting new patients
Wellstar Medical Group, LLC Family Medicine Current Accepting new patients
City of Hope Medical Group of Georgia LLC CurrentSince Jul 1, 2025 Accepting new patients
Covenant Medical Group LLC CurrentSince Mar 1, 2025 Accepting new patients
AIDS Healthcare Foundation CurrentSince Feb 11, 2024 Accepting new patients
Lagrange Emergency Physicians, LLC Emergency Medicine CurrentSince Aug 1, 2013 Accepting new patients
AIDS Healthcare Foundation CurrentSince Feb 11, 2024 Accepting new patients
T Douglas Gurley MD LLC CurrentSince May 20, 2024 Accepting new patients
Aid Atlanta Inc CurrentSince Feb 24, 2024 Accepting new patients
Hightower Emergency Group, PC Emergency Medicine CurrentSince Nov 5, 2019 Accepting new patients
Emergency Group of Columbus, LLC Emergency Medicine CurrentSince Sep 1, 2025 Accepting new patients
Small Hospital Innovations LLC Emergency Medicine CurrentSince Apr 1, 2022 Accepting new patients
Heritage Physician Services, LLC Emergency Medicine CurrentSince Sep 1, 2025 Accepting new patients

Locations

6255 W Sunset Blvd
Fl 21
Los Angeles, CA 90028
Phone (323) 860-5200

735 Piedmont Ave NE
Atlanta, GA 30308
Phone (404) 588-4680

659 Auburn Ave NE
Ste 156
Atlanta, GA 30312
Phone (404) 888-0228

1438 W Peachtree St NW
Atlanta, GA 30309
Phone (470) 283-7349

100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

1514 Vernon Rd
Lagrange, GA 30240
Phone (706) 812-2369

5700 Hillandale Dr
Ste 100
Lithonia, GA 30058
Phone (770) 593-6684

600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334

770 Greison Trl
Ste H
Newnan, GA 30263
Phone (404) 870-7700

11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277

483 Upper Riverdale Rd SW
Ste L
Riverdale, GA 30274
Phone (770) 742-3883

801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371

62742 Collections Ctr Dr
Chicago, IL 60693

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: ahmed.moussa.1@26356.direct.athenahealth.com
  • Direct secure messaging: amoussa268234@cityofhope.direct-ci.com
  • Direct secure messaging: ahmed.moussaabozeid@westgahealth.gadirect.net

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1194989285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 VERNON RD",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404131",
            "telephone_number": "770-874-5400",
            "fax_number": "770-874-5431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 VERNON RD",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404131",
            "telephone_number": "706-812-2369"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 5th Ave E",
            "address_purpose": "LOCATION",
            "city": "Tuscaloosa",
            "state": "AL",
            "postal_code": "354017419",
            "country_code": "US",
            "telephone_number": "205-348-1770 x1249",
            "fax_number": "205-348-1772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOUSSA",
        "first_name": "AHMED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-17",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "067263",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD.30472",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "67263",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "16702",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amoussa163603@directwellstar.org",
            "affiliation": "N",
            "address_1": "1514 Vernon Rd",
            "city": "LaGrange",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302404131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AHMED",
            "last_name": "ABOU ZEID",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lagrange, GA

Sources for this page

Verify at the official NPI Registry.