Individual provider Active NPI

Aminu Mohammed, M.D.

  • Pediatric Gastroenterology Physician
  • Atlanta, GA
National Provider Identifier
1477517399
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
056591 Issued in GA
Practice address
993D Johnson Ferry Rd NE
Ste 440
Atlanta, GA 30342
Phone
(404) 257-0799
Fax
(404) 503-2280
NPI assigned
Apr 17, 2006
Reactivated
Mar 9, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 056591 GA
Pediatric Gastroenterology Physician 2080P0206X 056591 GA Primary

Addresses

Primary practice location

993D Johnson Ferry Rd NE
Ste 440
Atlanta, GA 30342

Mailing address

993D Johnson Ferry Rd NE
Ste 440
Atlanta, GA 30342
Phone (404) 257-0799

Other practice location 1

722 1st St
Macon, GA 31201-6840
Phone (478) 633-7330

Other identifiers 1

IdentifierTypeStateIssuer
369858735MedicaidGA

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
056591GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Childrens Center for Digestive Health Care LLC Pediatric Gastroenterology CurrentSince Dec 24, 2025 Accepting new patients
Central Georiga Fertility Institute Past Accepting new patients
Atlanta Pediatric Nutrition, Inc. Past Accepting new patients

Locations

993 Johnson Fy Rd NE
Ste 440
Sandy Springs, GA 30342
Phone (404) 257-0799

Interoperability endpoints

  • Direct secure messaging: amohammed8067@choa.gadirect.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1477517399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "993D JOHNSON FERRY RD NE",
            "address_2": "STE 440",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30342",
            "telephone_number": "404-257-0799",
            "fax_number": "404-503-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "993D JOHNSON FERRY RD NE",
            "address_2": "STE 440",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30342",
            "telephone_number": "404-257-0799",
            "fax_number": "404-503-2280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "722 1st St",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312016840",
            "country_code": "US",
            "telephone_number": "478-633-7330",
            "fax_number": "478-633-7360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHAMMED",
        "first_name": "AMINU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2018-03-17",
        "deactivation_date": "2018-03-01",
        "reactivation_date": "2018-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "056591",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "GA",
            "license": "056591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "369858735",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.