Mustafa Musa Nimir, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

002995 Issued in GA

Practice address

1120 15TH St Ae-3042
Medical College of Georgia
Augusta, GA 30912-5000

Phone

(706) 589-7832

NPI assigned

Aug 20, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Practice roles

Locations

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.

• Travis County Emergency Physicians PA

  • Emergency Medicine Physician
  • Austin, TX
  • NPI 1962440933
  Medicare reassignment NPD
• Texas Top Pediatrics PA

  • Pediatrics Physician
  • San Antonio, TX
  • NPI 1760105688
  NPD (past)

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219190400000",
    "number": "1225285372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 15TH ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309125000",
            "telephone_number": "706-589-7832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 15TH ST AE-3042",
            "address_2": "MEDICAL COLLEGE OF GEORGIA",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309125000",
            "telephone_number": "706-589-7832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIMIR",
        "first_name": "MUSTAFA",
        "middle_name": "MUSA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-20",
        "last_updated": "2008-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "002995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Blackett Nichols, LCSW
• Brianna Taylor Nicholson
• Lee Anna Melissa Nicholson
• Matthew Steven Nicholson, M.D.
• Nestor L. Nieves, MD
• Naphun Nimmanonda, PHARMD
• Niti Bhalla Carlson MD PC
• Bethany L Nixon, LPC
• George A. Nixon, MD
• Zikora Adaku Nnabugwu, RPH

• Pediatrics Physician in Augusta, GA
• Providers in Augusta, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; 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.