Active NPI
Safinaz Mostafa
- Psychiatry Physician
- Buford, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 007869
- Practice address
- 4445 S Lee St Ste 300
Buford, GA 30518-8808 - Phone
- (770) 219-5407
- NPI assigned
- Jul 6, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 007869 | GA | Primary |
Addresses
Primary practice location
4445 S Lee St Ste 300
Buford, GA 30518-8808
Mailing address
PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420
Other practice location 1
1120 15th St
Augusta, GA 30912-0004
Phone (706) 721-6715
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | smostafa104613@nghs.gadirect.net | Direct |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200423003301 | GA | Practitioner - Psychiatry | 6608167200 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Lookout Mountain Community Services
Practice addresses (Care Compare)
1875 Fant Dr
Ft Oglethorpe, GA 30742-3300
Phone (706) 861-3387
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lookout Mountain Community Services | Current | Accepting new patients | |
| Lookout Mountain Community Services | Current | Accepting new patients | |
| Northeast Georgia Physicians Group Inc | Current | Accepting new patients | |
| Lookout Mountain Community Services | Current | Accepting new patients |
Locations
4445 S Lee St
Ste 300
Buford, GA 30518
Phone (770) 219-8765
1875 Fant Dr
Ft Oglethorpe, GA 30742
Phone (706) 861-3387
200 Wisteria Dr
Gainesville, GA 30501
Phone (770) 219-3800
597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275
501 Mize St
La Fayette, GA 30728
Phone (706) 638-5584
Interoperability endpoints
- smostafa104613@nghs.gadirect.net
Organizations & group practices 4
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.
-
- Community/Behavioral Health Agency
- Lafayette, GA
- NPI 1790782431
GA
-
- Community/Behavioral Health Agency
- Lafayette, GA
- NPI 1386716124
-
- Community/Behavioral Health Agency
- Ft Oglethorpe, GA
- NPI 1568599090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610582400000",
"number": "1386027696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 742616",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303742616",
"telephone_number": "770-219-8420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4445 S LEE ST STE 300",
"city": "BUFORD",
"state": "GA",
"postal_code": "305188808",
"telephone_number": "770-219-5407"
}
],
"practiceLocations": [
{
"address_1": "1120 15th St",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "GA",
"postal_code": "309120004",
"country_code": "US",
"telephone_number": "706-721-6715",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOSTAFA",
"first_name": "SAFINAZ",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-06",
"last_updated": "2021-01-14",
"certification_date": "2021-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "007869",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "smostafa104613@nghs.gadirect.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "4445 S Lee St Ste 300",
"city": "Buford",
"state": "GA",
"country_code": "US",
"postal_code": "305188808",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Buford, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; 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.
- 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.