Mushtaq Ahmed, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

076391 Issued in GA

Practice address

133 W Athens St
Winder, GA 30680-1786

Phone

(770) 867-6633

NPI assigned

Mar 19, 2009

Last updated

Jul 27, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Family Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medlink Georgia IncGroup PAC ID 3274442850, 93 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health Home health agency, Gainesville, GA, CCN 117021
• Northeast Georgia Medical Center, Inc Hospital, Gainesville, GA, CCN 110029

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mushtaq.ahmed.1@18823.direct.athenahealth.com
• Direct secure messaging: mushtaq.ahmed.1@9864.direct.athenahealth.com

All facility ownership & control disclosures 18

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 18

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Medlink Georgia Inc

  • Federally Qualified Health Center (FQHC)
  • Commerce, GA
  • NPI 1033304274

  Corporate Officer

  CMS ownership
• Medlink Georgia Inc

  • Federally Qualified Health Center (FQHC)
  • Lexington, GA
  • NPI 1083724082

  W-2 Managing Employee

  CMS ownership
• Medlink Georgia Inc

  • Federally Qualified Health Center (FQHC)
  • Clayton, GA
  • NPI 1346299807

  Corporate Officer

  CMS ownership
• Medlink Georgia Inc

  dba MedLink Rabun Behavioral Health

  • Federally Qualified Health Center (FQHC)
  • Clayton, GA
  • NPI 1467180539

  W-2 Managing Employee

  CMS ownership
• Medlink Georgia Inc

  dba MedLink Danielsville

  • Federally Qualified Health Center (FQHC)
  • Danielsville, GA
  • NPI 1467909374

  Corporate Officer

  CMS ownership
• Medlink Georgia Inc

  dba MedLink Gwinnett

  • Federally Qualified Health Center (FQHC)
  • Lawrenceville, GA
  • NPI 1649829532

  Corporate Officer

  CMS ownership
• Medlink Georgia Inc

  dba MedLink Jefferson

  • Federally Qualified Health Center (FQHC)
  • Jefferson, GA
  • NPI 1669063277

  Corporate Officer

  CMS ownership
• Medlink Georgia Inc

  • Federally Qualified Health Center (FQHC)
  • Monroe, GA
  • NPI 1669833364

  Corporate Officer

  CMS ownership
• Medlink Georgia, Inc

  dba MedLink Hawks School Based Health Center

  • Federally Qualified Health Center (FQHC)
  • Gainesville, GA
  • NPI 1114762721

  W-2 Managing Employee

  CMS ownership
• Medlink Georgia, Inc

  dba MedLink Rabun North

  • Federally Qualified Health Center (FQHC)
  • Clayton, GA
  • NPI 1124525183

  Corporate Officer

  CMS ownership
• Medlink Georgia, Inc

  dba MedLink HT Edwards School Based Health Center

  • Federally Qualified Health Center (FQHC)
  • Athens, GA
  • NPI 1215765417

  Corporate Officer

  CMS ownership
• Medlink Georgia, Inc

  dba MedLink Rabun Women's Center

  • Federally Qualified Health Center (FQHC)
  • Clayton, GA
  • NPI 1306563515

  W-2 Managing Employee

  CMS ownership

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.

• Medlink Georgia Inc

  • Federally Qualified Health Center (FQHC)
  • Colbert, GA
  • NPI 1396794541
  Medicare reassignment Care Compare group NPD
• Medlink Georgia, Inc

  dba MedLink Commerce Family Foot Clinic

  • Podiatric Clinic/Center
  • Commerce, GA
  • NPI 1619627460
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Caresouth HHA Holdings of Gainesville, LLC

  dba Enhabit Home Health

  • Home Health Agency
  • Gainesville, GA
  • NPI 1235117581
  Care Compare affiliation
• Northeast Georgia Medical Center, Inc.

  • General Acute Care Hospital
  • Gainesville, GA
  • NPI 1427055821
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1237420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469577600000",
    "number": "1457592552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 459",
            "city": "COLBERT",
            "state": "GA",
            "postal_code": "306280459",
            "telephone_number": "706-788-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 W ATHENS ST",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306801786",
            "telephone_number": "770-867-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "MUSHTAQ",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-19",
        "last_updated": "2016-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "39928",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "076391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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, MD
• Susan Aldrich
• All Dialysis Services
• Kristin Allen, OTR/L

• Family Medicine Physician in Winder, GA
• Providers in Winder, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.