Mushtaq Ahmed, M.D.
Individual provider Active NPI Family Medicine Physician · Winder, GA
NPI 1457592552 · NPPES record last updated Jul 27, 2016
Key facts
- NPI
- 1457592552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 076391 (GA)
- Practice address
- 133 W Athens St
Winder, GA 30680-1786 - Phone
- (770) 867-6633
- NPI assigned
- Mar 19, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Owned or controlled facilities with NPI records 18
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Medlink Georgia Inc
Practice addresses (Care Compare)
11 Charlie Morris Rd
Colbert, GA 30628-2445
Phone (706) 788-2127
112 Banks Rd
Suite 1
Commerce, GA 30529-6300
Phone (706) 677-4568
1160 Capital Ave
Suite 105
Watkinsville, GA 30677-1832
Phone (706) 521-3113
133 W Athens St
Winder, GA 30680-1786
Phone (770) 867-6633
137 W Athens St
Suite 103
Winder, GA 30680-1786
Phone (770) 867-6633
2000 Prince Ave
Athens, GA 30606-6022
Phone (706) 521-3113
Hospital & facility affiliations
- Enhabit Home Health
- Northeast Georgia Medical Center, Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 18
| Facility | Type | Role | Since |
|---|---|---|---|
| Medlink Rabun |
Federally qualified health center | Corporate Officer | Sep 1, 2016 |
| Medlink Oglethorpe |
Federally qualified health center | W-2 Managing Employee | Sep 1, 2016 |
| Medlink Banks |
Federally qualified health center | Corporate Officer | Sep 1, 2016 |
| Medlink Monroe |
Federally qualified health center | Corporate Officer | Sep 1, 2016 |
| Medlink Danielsville |
Federally qualified health center | Corporate Officer | Sep 1, 2016 |
| Medlink Winder Womens Center |
Federally qualified health center | Corporate Officer | Sep 1, 2016 |
| Medlink Commerce |
Federally qualified health center | Corporate Officer | Sep 1, 2016 |
| Medlink Rabun North |
Federally qualified health center | Corporate Officer | Sep 1, 2016 |
| Medlink Georgia Inc |
Federally qualified health center | Corporate Officer | Sep 1, 2016 |
| Medlink Jefferson |
Federally qualified health center | Corporate Officer | Sep 1, 2016 |
| Medlink Suches |
Federally qualified health center | Corporate Officer | Sep 1, 2016 |
| Medlink Rabun Behavioral Health |
Federally qualified health center | W-2 Managing Employee | Sep 1, 2016 |
| Medlink Rabun Women'S Center |
Federally qualified health center | W-2 Managing Employee | Sep 1, 2016 |
| Medlink Hawks School Based Health Center |
Federally qualified health center | W-2 Managing Employee | Aug 1, 2017 |
| Medlink Coile School Based Health Center |
Federally qualified health center | Corporate Officer | Sep 1, 2016 |
| Medlink HT Edwards School Based Health Center |
Federally qualified health center | Corporate Officer | Sep 1, 2016 |
| Medlink Patriot School Based Health Center |
Federally qualified health center | Corporate Officer | Sep 1, 2016 |
| Medlink Rabun Specialty Services |
Federally qualified health center | W-2 Managing Employee | Sep 1, 2016 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160812001816 | GA | Practitioner - Family Practice | 6002100039 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39928 | CO | MD | Family Medicine Physician |
| 076391 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medlink Georgia, Inc | Current |
Accepting new patients | |
| Medlink Georgia Inc | Current |
Accepting new patients | |
| Medlink Georgia Inc | Past | Accepting new patients |
Locations
2000 Prince Ave
Athens, GA 30606
Phone (706) 353-8220
2648 Highway 129 N
Cleveland, GA 30528
Phone (706) 725-4000
17 White St
Cleveland, GA 30528
Phone (706) 865-4001
11 Charlie Morris Rd
Colbert, GA 30628
Phone (706) 738-3234
11 Charlie Morris Rd
Bldg 2
Colbert, GA 30628
Phone (706) 738-3234
613 Hospital Rd
Commerce, GA 30529
Phone (706) 335-9411
611 Hospital Rd
Commerce, GA 30529
Phone (706) 356-4392
112 Banks Rd
Ste 1
Commerce, GA 30529
Phone (706) 677-4568
520 Jesse Jewell Pkwy SE
Gainesville, GA 30501
Phone (770) 287-0290
2035 Calvary Church Rd
Gainesville, GA 30507
Phone (706) 237-8722
63 W Gibson St
Hartwell, GA 30643
Phone (706) 376-6100
980 Lawrenceville Hwy
Lawrenceville, GA 30046
Phone (770) 676-6500
247 Union Point St
Lexington, GA 30648
Phone (706) 743-8171
705 Breedlove Dr
Ste 100
Monroe, GA 30655
Phone (770) 266-0305
133 W Athens St
Winder, GA 30680
Phone (770) 867-6633
125 W Athens St
Winder, GA 30680
Phone (706) 521-3113
137 W Athens St
Ste 103
Winder, GA 30680
Phone (678) 963-5013
Interoperability endpoints
- mushtaq.ahmed.1@18823.direct.athenahealth.com
- mushtaq.ahmed.1@9864.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 39928 | CO | |
| Family Medicine Physician | 207Q00000X | 076391 | GA | Yes |
Addresses
Primary practice location
133 W Athens St
Winder, GA 30680-1786
Mailing address
PO Box 459
Colbert, GA 30628-0459
Phone (706) 788-3234
Other providers in Winder, GA
- Advantage BHS
- Advantage BHS
- Affordable Breast Imaging
- Agape Home Health Services LLC
- Agape Hospice of Northeast Georgia, Inc.
- Aica Orthopedics, P. C.
- Ganiat Jaiyesinmi Ajayi
- Susan Aldrich
- All Dialysis Services
- Kristin Allen
All providers in Winder, GA · Family Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2016. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.