Individual provider Active NPI

Mamoud Watfer Murad, CRNA

  • Certified Registered Nurse Anesthetist
  • Stockbridge, GA
National Provider Identifier
1336656123
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN223533 Issued in GA
Practice address
1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085
Phone
(678) 604-1053
Fax
(678) 604-5548
NPI assigned
Jan 3, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Management Registered Nurse 163WP0000X RN223533 GA
Certified Registered Nurse Anesthetist 367500000X RN223533 GA Primary
Registered Nurse 163W00000X RN223533 GA

Addresses

Primary practice location

1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085

Mailing address

PO Box 102966
Atlanta, GA 30368-2966
Phone (678) 604-1053

Other practice location 1

1800 Howell mill road Suite 250
atlanta, GA 30318-5085
Phone (404) 537-4910

Other practice location 2

1255 Highway 54 West
Fayettevillle, GA 30214-5085
Phone (404) 351-1745

Other practice location 3

1968 Peachtree road NW
atlanta, GA 30309-5085
Phone (678) 216-0771

Other practice location 4

745 poplar road
newnan, GA 30265-5085
Phone (770) 400-1000

Other practice location 5

775 poplar road, suite LL20
newnan, GA 30265-5085
Phone (770) 253-1912

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180725001300 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3476800251 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Anesthesia LLCGroup PAC ID 2163837972, 555 clinicians

Practice addresses (Care Compare)

1255 Hwy 54 W
Fayetteville, GA 30214
Phone (770) 719-7000

Hospital & facility affiliations

  • Piedmont Hospital, Inc Hospital, Atlanta, GA, CCN 110083

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Gi Anesthesia of Georgia LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 12, 2022 Accepting new patients
Coastal Ambulatory Anesthesia LLC CurrentSince Sep 1, 2022 Accepting new patients
Physician Specialists in Anesthesia, P.C. Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2021 Accepting new patients
Gainesville Foot and Ankle Surgery Center, PC CurrentSince Nov 1, 2020 Accepting new patients
Piedmont Anesthesia Associates, L.L.C CurrentSince Jun 13, 2023 Accepting new patients
Anesthesia Plus LLC Current Accepting new patients
Greater Atlanta Anesthesia, LLC CurrentSince Mar 15, 2021 Accepting new patients
Summit Radiology Services P C Past Accepting new patients

Locations

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

95 Collier Rd NW
Ste 4075
Atlanta, GA 30309
Phone (404) 355-2200

1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222

1984 Peachtree Rd NW
Ste 515
Atlanta, GA 30309
Phone (404) 351-1754

1800 Howell Mill Rd NW
Ste 250
Atlanta, GA 30318
Phone (404) 537-4910

1255 Highway 54 W
Fayetteville, GA 30214
Phone (770) 719-6911

1265 Highway 54 W
Ste 401
Fayetteville, GA 30214
Phone (678) 617-6505

1955 Textile Way
Gainesville, GA 30501
Phone (678) 987-1499

134 Mountainside Village Pkwy
Bldg 500
Jasper, GA 30143
Phone (706) 253-7340

301 Philip Blvd
Ste B
Lawrenceville, GA 30046
Phone (770) 682-7220

2520 Windy Hill Rd SE
Ste 105
Marietta, GA 30067
Phone (770) 952-5300

2326 Highway 34 E
Ste 100
Newnan, GA 30265
Phone (678) 902-0457

745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785

775 Poplar Rd
Ste LL20
Newnan, GA 30265
Phone (770) 253-1912

1975 Highway 54 W
Ste 205
Peachtree Cty, GA 30269
Phone (678) 561-9000

5665 Ptree Dunwoody Rd NE
Sandy Springs, GA 30342
Phone (678) 843-7001

5671 Ptree Dunwoody Rd NE
Ste 680
Sandy Springs, GA 30342
Phone (404) 705-6985

5671 Ptree Dunwoody Rd NE
Ste 800
Sandy Springs, GA 30342
Phone (404) 257-1415

1139 Lexington Ave
Savannah, GA 31404
Phone (912) 303-4200

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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": "1514937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1336656123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102966",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682966",
            "telephone_number": "678-604-1053",
            "fax_number": "678-604-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 EAGLES LANDING PKWY",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815085",
            "telephone_number": "678-604-1053",
            "fax_number": "678-604-5548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Howell mill road Suite 250",
            "address_purpose": "LOCATION",
            "city": "atlanta",
            "state": "GA",
            "postal_code": "303185085",
            "country_code": "US",
            "telephone_number": "404-537-4910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1255 Highway 54 West",
            "address_purpose": "LOCATION",
            "city": "Fayettevillle",
            "state": "GA",
            "postal_code": "302145085",
            "country_code": "US",
            "telephone_number": "404-351-1745",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1968 Peachtree road NW",
            "address_purpose": "LOCATION",
            "city": "atlanta",
            "state": "GA",
            "postal_code": "303095085",
            "country_code": "US",
            "telephone_number": "678-216-0771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "745 poplar road",
            "address_purpose": "LOCATION",
            "city": "newnan",
            "state": "GA",
            "postal_code": "302655085",
            "country_code": "US",
            "telephone_number": "770-400-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "775 poplar road, suite LL20",
            "address_purpose": "LOCATION",
            "city": "newnan",
            "state": "GA",
            "postal_code": "302655085",
            "country_code": "US",
            "telephone_number": "770-253-1912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURAD",
        "first_name": "MAMOUD",
        "middle_name": "WATFER",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-03",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pain Management",
            "state": "GA",
            "license": "RN223533",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN223533",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN223533",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.