Active NPI
Muneer Al-Hakim, M.D.
- Pediatric Adolescent Medicine Physician
- Eatonton, GA
National Provider Identifier
1396853826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 042781
- Practice address
- 116 Sparta Hwy
Eatonton, GA 31024-8484 - Phone
- (478) 452-3835
- Fax
- (478) 295-3095
- NPI assigned
- Aug 25, 2006
- Last updated
- Sep 17, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 042781 | GA | Primary |
Addresses
Primary practice location
116 Sparta Hwy
Eatonton, GA 31024-8484
Mailing address
PO Box 3009
Eatonton, GA 31024-3009
Phone (478) 452-3835
Other practice location 1
1015 Fernwood Dr
Milledgeville, GA 31061-5416
Phone (478) 452-3835
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000739296C | Medicaid | GA | |
| 611384188A | Medicaid | GA | |
| 297026 | Other | GA | WELLCARE |
| 166056 | Other | GA | BLUE CROSS BLUE SHIELD |
| 000739296D | Medicaid | GA | |
| 10033063 | Other | GA | AMERIGROUP |
| 000739296C | Other | GA | PEACH STATE HEALTH PLAN |
| 297003 | Other | GA | WELLCARE |
| 000739296D | Other | GA | PEACH STATE HEALTH PLAN |
| 58-2624216 | Other | GA | TAX IDENTIFICATION NUMBER |
| 913725245A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042781 | GA | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eatonton Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JECEAA/Endpoint/JECEAA
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Eatonton, GA
- NPI 1902064918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789603200000",
"number": "1396853826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3009",
"city": "EATONTON",
"state": "GA",
"postal_code": "310243009",
"telephone_number": "478-452-3835",
"fax_number": "478-295-3050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 SPARTA HWY",
"city": "EATONTON",
"state": "GA",
"postal_code": "310248484",
"telephone_number": "478-452-3835",
"fax_number": "478-295-3095"
}
],
"practiceLocations": [
{
"address_1": "1015 Fernwood Dr",
"address_purpose": "LOCATION",
"city": "Milledgeville",
"state": "GA",
"postal_code": "310615416",
"country_code": "US",
"telephone_number": "478-452-3835",
"fax_number": "478-295-3095",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AL-HAKIM",
"first_name": "MUNEER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-25",
"last_updated": "2026-09-17",
"certification_date": "2026-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "GA",
"license": "042781",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000739296C",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "611384188A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "297026",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "166056",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000739296D",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "10033063",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEACH STATE HEALTH PLAN",
"identifier": "000739296C",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "297003",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEACH STATE HEALTH PLAN",
"identifier": "000739296D",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX IDENTIFICATION NUMBER",
"identifier": "58-2624216",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "913725245A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eatonton, GA
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.