Active NPI
Aminu Mohammed, M.D.
- Pediatric Gastroenterology Physician
- Atlanta, GA
National Provider Identifier
1477517399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- 056591
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 369858735 | 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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056591 | GA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Childrens Center for Digestive Health Care LLC | Pediatric Gastroenterology | Current | 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
- 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.
-
- Pediatric Gastroenterology Physician
- Atlanta, GA
- NPI 1457329989
-
- Pediatric Nutrition Registered Dietitian
- Woodstock, GA
- NPI 1558096479
-
- Reproductive Endocrinology Physician
- Macon, GA
- NPI 1447390901
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.