Mustapha Timmy Issa, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

214261 Issued in GA

Practice address

470 Dacula Rd Unit 145
Dacula, GA 30019-0102

Phone

(954) 547-9602

NPI assigned

Dec 26, 2018

Last updated

Jul 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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, SC2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Mak Anesthesia Holdings, LLCGroup PAC ID 4284917204, 370 clinicians

Mak Anesthesia Georgia, LLCGroup PAC ID 7315203718, 108 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wellstar Cobb Medical Center Hospital, Austell, GA, CCN 110143
• Musc Health Columbia Medical Center Downtown Hospital, Columbia, SC, CCN 420026

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Mak Anesthesia Georgia, LLC

  • Anesthesiology Physician
  • Kennesaw, GA
  • NPI 1609390103
  Medicare reassignment Care Compare group NPD
• Mak Anesthesia Holdings LLC

  • Anesthesiology Physician
  • Kennesaw, GA
  • NPI 1912452939
  Medicare reassignment Care Compare group NPD
• Musc Community Physicians

  dba MUSC Community Physicians Specialty

  • Internal Medicine Physician
  • Bamberg, SC
  • NPI 1841878006
  Medicare reassignment Care Compare group NPD
• American Anesthesiology Associates of Georgia, LLC

  • Anesthesiology Physician
  • Stone Mountain, GA
  • NPI 1528068673
  Medicare reassignment NPD
• Concordia Anesthesiology, Inc

  • Anesthesiology Physician
  • Atlanta, GA
  • NPI 1619296464
  Medicare reassignment NPD
• Phoebe Physician Group, Inc

  • Clinic/Center
  • Albany, GA
  • NPI 1487899464
  Medicare reassignment NPD
• Piedmont Anesthesia LLC

  • Anesthesiology Physician
  • Stockbridge, GA
  • NPI 1700474244
  Medicare reassignment NPD
• Radius Anesthesia of Georgia LLC

  • Anesthesiology Physician
  • Atlanta, GA
  • NPI 1861996225
  Medicare reassignment NPD
• Prisma Health-Midlands

  dba Prisma Health Baptist Hospital

  • General Acute Care Hospital
  • Columbia, SC
  • NPI 1205889458
  Medicare reassignment NPD
• Anesthesia Services of Atlanta LLC

  • Anesthesiology Physician
  • Atlanta, GA
  • NPI 1124657465
  NPD
• Phoebe Primary Care

  • Clinic/Center
  • Albany, GA
  • NPI 1962757948
  NPD
• Musc Community Physicians

  dba MUSC Health Primary Care - Bowman

  • Rural Health Clinic/Center
  • Bowman, SC
  • NPI 1225735772
  NPD

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

• Cobb Hospital, Inc

  dba Wellstar Cobb Hospital

  • General Acute Care Hospital
  • Austell, GA
  • NPI 1467420448
  Care Compare affiliation
• Medical University Hospital Authority

  dba MUSC Health Columbia Medical Center Northeast

  • General Acute Care Hospital
  • Columbia, SC
  • NPI 1285200105
  Care Compare affiliation
• Medical University Hospital Authority

  dba MUSC Health Columbia Medical Center Downtown

  • General Acute Care Hospital
  • Columbia, SC
  • NPI 1558937474
  Care Compare affiliation
• Medical University Hospital Authority

  • Urgent Care Clinic/Center
  • Columbia, SC
  • NPI 1578402764

  Hospital

  Care Compare affiliation
• Medical University Hospital Authority

  dba MUSC Health Fairfield Emergency and Imaging Center

  • Clinic/Center
  • Winnsboro, SC
  • NPI 1811563737

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1545782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1497227797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 DACULA RD UNIT 145",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300190102",
            "telephone_number": "954-547-9602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 DACULA RD UNIT 145",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300190102",
            "telephone_number": "954-547-9602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISSA",
        "first_name": "MUSTAPHA",
        "middle_name": "TIMMY",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-26",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "24769",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "214261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Integrative Medical Management Group
• Interventional Spine and Pain Management Center, PC (Alliance Spine and Pain Centers)
• Isura Homecare, LLC
• Thomas Edward Jackson, PT
• Vanessa Hunter Jacky-Davis
• Shaki Chaudhary Jameson, DMD
• Audrey Jara, MD

• Certified Registered Nurse Anesthetist in Dacula, GA
• Providers in Dacula, GA by specialty
• Certified Registered Nurse Anesthetist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.