Individual provider Active NPI

Musharaf Momin, MD

  • Internal Medicine Physician
  • Stockbridge, GA
National Provider Identifier
1366483844
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
55831 Issued in GA
Practice address
130 Eagle Spring CT Ste a
Stockbridge, GA 30281-7252
Phone
(678) 759-2278
Fax
(678) 782-3260
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 55831 GA Primary

Addresses

Primary practice location

130 Eagle Spring CT Ste a
Stockbridge, GA 30281-7252

Mailing address

130 Eagle Spring CT Ste a
Stockbridge, GA 30281-7252
Phone (678) 759-2278

Other practice location 1

1169 Hampton Rd
678-759-2278
McDonough, GA 30253-6521
Phone (678) 759-2278

Other practice location 2

130 Eagle Spring Ct
Stockbridge, GA 30281
Phone (678) 759-2278

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
I20051004000418 GA Practitioner - Internal MedicinePractitioner - Pediatric Medicine 0446285936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

130 Eagle Spring CT
Suite a
Stockbridge, GA 30281-7252
Phone (678) 759-2278

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Kennesaw, GA, CCN 117027
  • Centerwell Home Health Home health agency, Peachtree City, GA, CCN 117137
  • Central Home Health Care, an Amedisys Company Home health agency, Douglasville, GA, CCN 117050
  • Piedmont Henry Hospital Hospital, Stockbridge, GA, CCN 110191

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55831GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Musharaf Momin Inc Internal Medicine CurrentSince Sep 30, 2011 Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
Spalding Regional Physician Services, LLC Internal Medicine Past Accepting new patients
Piedmont Henry Hospital, Inc. Past Accepting new patients
Ecc Hospitalist Services PC Internal Medicine Past Accepting new patients
Emergency Coverage, LLC Internal Medicine Past Accepting new patients

Locations

130 Eagle Spring Ct
Ste A
Stockbridge, GA 30281
Phone (678) 616-4483

130 Eagle Spring Ct
Stockbridge, GA 30281
Phone (678) 759-2278

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JDAGCD/Endpoint/JDAGCD

Organizations & group practices 6

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 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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1366483844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 EAGLE SPRING CT STE A",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817252",
            "telephone_number": "678-759-2278",
            "fax_number": "404-783-1767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 EAGLE SPRING CT STE A",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817252",
            "telephone_number": "678-759-2278",
            "fax_number": "678-782-3260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1169 Hampton Rd",
            "address_2": "678-759-2278",
            "address_purpose": "LOCATION",
            "city": "McDonough",
            "state": "GA",
            "postal_code": "302536521",
            "country_code": "US",
            "telephone_number": "678-759-2278",
            "fax_number": "678-759-2279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 Eagle Spring Ct",
            "address_purpose": "LOCATION",
            "city": "Stockbridge",
            "state": "GA",
            "postal_code": "30281",
            "country_code": "US",
            "telephone_number": "678-759-2278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOMIN",
        "first_name": "MUSHARAF",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "55831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.