Mussie Asmerom, NNP-BC
Individual provider Active NPI Neonatal Nurse Practitioner · Lilburn, GA
NPI 1285094433 · NPPES record last updated Aug 25, 2026
Key facts
- NPI
- 1285094433
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neonatal Nurse Practitioner 363LN0000X
- License
- APRN-NP190757 (GA)
- Practice address
- 3773 Ivey LN SW
Lilburn, GA 30047-2155 - Phone
- (770) 595-5276
- NPI assigned
- Mar 1, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in GA, DE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160822002389 | GA | Practitioner - Nurse Practitioner | 5496040024 | Reassigns benefits to 1 organization |
| I20250411000542 | DE | Practitioner - Nurse Practitioner | 5496040024 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10418 | MN | MD | Physician Assistant |
| LM-0000137 | DE | MD | Neonatal Nurse Practitioner |
| APRN-NP190757 | GA | MD | Neonatal Nurse Practitioner |
| RN190757 | GA | MD | Critical Care Neonatal Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayhealth Medical Center, Inc | Current |
Accepting new patients | |
| Floyd Physicians, LLC | Current |
Accepting new patients | |
| Bayhealth Medical Center, Inc. | Current | Accepting new patients | |
| Bayhealth Medical Center, Inc. | Current |
Accepting new patients |
Locations
640 S State St
Dover, DE 19901
Phone (302) 744-4700
100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311
420 E 2nd Ave
Ste 103
Rome, GA 30161
Phone (706) 509-3278
304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | CNP261497 | ME | |
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | RN190757 | GA | |
| Neonatal Nurse Practitioner | 363LN0000X | APRN-NP190757 | GA | Yes |
| Nurse Practitioner | 363L00000X | LM-0000137 | DE | |
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | CNP261497 | ME | |
| Neonatal Nurse Practitioner | 363LN0000X | LM-0000137 | DE | |
| Nurse Practitioner | 363L00000X | CNP261497 | ME |
Addresses
Primary practice location
3773 Ivey LN SW
Lilburn, GA 30047-2155
Mailing address
1711 Tullie Cir NE
Atlanta, GA 30329-2305
Phone (404) 785-5413
Other practice location 1
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 662-2273
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285094433 | Other | NPI |
Other providers in Lilburn, GA
- Aurea Aragon
- Richard Hendry Armond III
- Jasmyn Armstrong
- Vijay L Arora
- Ivette Arteaga Gonzalez
- Sangeetha Asokan
- Celeste Atcheson
- Atlanta Cardiac & Vascular Specialists
- Atlanta Homecare Services, LLC
- Atlanta Metro Dental Services, PLLC
All providers in Lilburn, GA · Neonatal Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.