Individual provider Active NPI

Sadid Mohammed Momen

  • Psychiatric/Mental Health Nurse Practitioner
  • Gainesville, FL
National Provider Identifier
1578440285
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11041624 Issued in FL
Practice address
3000 SW 35TH PL Apt B-306
Gainesville, FL 32608-9378
Phone
(561) 927-6364
NPI assigned
Aug 18, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11041624 FL Primary

Addresses

Primary practice location

3000 SW 35TH PL Apt B-306
Gainesville, FL 32608-9378

Mailing address

3000 SW 35TH PL Apt B-306
Gainesville, FL 32608-9378
Phone (561) 927-6364

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251215001698 FL Practitioner - Nurse Practitioner 7214421445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Project Health IncGroup PAC ID 0446153399, 34 clinicians

Practice addresses (Care Compare)

314 S Line Ave
Inverness, FL 34452-4606
Phone (352) 419-4056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11041624FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Project Health Inc. CurrentSince Nov 28, 2025 Accepting new patients
Project Health Inc. CurrentSince Nov 28, 2025 Accepting new patients

Locations

314 S Line Ave
Inverness, FL 34452
Phone (352) 419-5760

120 N Montgomery Ave
Inverness, FL 34450
Phone (352) 419-5760

1425 S US 301
Sumterville, FL 33585

1389 S US 301
Sumterville, FL 33585

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": "1755475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1578440285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 SW 35TH PL APT B-306",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326089378",
            "telephone_number": "561-927-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 SW 35TH PL APT B-306",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326089378",
            "telephone_number": "561-927-6364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOMEN",
        "first_name": "SADID",
        "middle_name": "MOHAMMED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-18",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11041624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.