Individual provider Active NPI

Sindy Mulumba, M.D.

  • Family Medicine Physician
  • Suwanee, GA
National Provider Identifier
1558503318
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
99069 Issued in GA
Practice address
4330 Johns Creek Pkwy Ste 400
Suwanee, GA 30024-6120
Phone
(470) 253-1350
Fax
(470) 153-1349
NPI assigned
Mar 25, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0361368705 IL
Family Medicine Physician 207Q00000X 99069 GA Primary

Addresses

Primary practice location

4330 Johns Creek Pkwy Ste 400
Suwanee, GA 30024-6120

Mailing address

4330 Johns Creek Pkwy Ste 400
Suwanee, GA 30024-6120
Phone (470) 253-1350

Other names 1

  • Dr. Sindy Bernot Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150930000018 IL Practitioner - Family PracticePractitioner - Other (Physician) 2365698016 Reassigns benefits to 2 organizations
I20240608000306 GA Practitioner - Family Practice 2365698016 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HSHS Medical Group IncGroup PAC ID 5092857821, 212 clinicians
Stars Medical and Psychiatric Urgent Services LLCGroup PAC ID 6709380223, 2 clinicians

Practice addresses (Care Compare)

1836 S Macarthur Blvd
Springfield, IL 62704-4030
Phone (217) 789-1403

4330 Johns Creek Pkwy
Suite 400
Suwanee, GA 30024-6120
Phone (470) 253-1350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0361368705ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HSHS Medical Group Inc CurrentSince Nov 1, 2019 Accepting new patients
Peachtree Immediate Care FP, LLC Family Medicine CurrentSince Jun 1, 2024 Accepting new patients
Stars Medical and Psychiatric Urgent Services LLC Family Medicine CurrentSince Dec 4, 2024 Accepting new patients
Carle Health Care Incorporated Family Medicine CurrentSince Dec 9, 2015 Accepting new patients
HSHS Medical Group Inc CurrentSince Nov 1, 2019 Accepting new patients

Locations

590 Lanier Ave W
Fayetteville, GA 30214

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900

4330 Johns Creek Pkwy
Ste 400
Suwanee, GA 30024
Phone (470) 253-1350

311 W Fairchild St
Danville, IL 61832
Phone (217) 431-7600

1900 E Lake Shore Dr
Ste 330
Decatur, IL 62521
Phone (217) 423-2889

701 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5531

1836 S MacArthur Blvd
Springfield, IL 62704
Phone (217) 789-1403

3051 Hollis Dr
Fl 2
Springfield, IL 62704
Phone (217) 321-9321

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

Organizations & group practices 5

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": "1237939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1558503318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 JOHNS CREEK PKWY STE 400",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246120",
            "telephone_number": "470-253-1350",
            "fax_number": "470-153-1349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 JOHNS CREEK PKWY STE 400",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246120",
            "telephone_number": "470-253-1350",
            "fax_number": "470-153-1349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULUMBA",
        "first_name": "SINDY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-25",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "0361368705",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "99069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SINDY",
            "last_name": "BERNOT",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Suwanee, GA

Sources for this page

Verify at the official NPI Registry.