Individual provider Active NPI

Carlo A Musso, M.D.

  • Specialist
  • Stockbridge, GA
National Provider Identifier
1598089831
Registry record updated May 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
033871 Issued in GA
Practice address
9020 Peridot Pkwy
Stockbridge, GA 30281-9417
Phone
(770) 626-5580
Fax
(770) 692-4754
NPI assigned
Mar 15, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 033871 GA Primary

Addresses

Primary practice location

9020 Peridot Pkwy
Stockbridge, GA 30281-9417

Mailing address

4851 Bill Gardner Pkwy
Suite 103
Locust Grove, GA 30248-3644
Phone (770) 626-5580

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
033871GAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Correctmed Locust Grove, LLC Past Accepting new patients
Southern Regional Health System, Inc Past Accepting new patients
Emerginet Henry, LLC Past Accepting new patients
Emerginet SRMC, LLC Past Accepting new patients

Organizations & group practices 4

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": "1268611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273190400000",
    "number": "1598089831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4851 BILL GARDNER PKWY",
            "address_2": "SUITE 103",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302483644",
            "telephone_number": "770-626-5580",
            "fax_number": "770-692-4754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9020 PERIDOT PKWY",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819417",
            "telephone_number": "770-626-5580",
            "fax_number": "770-692-4754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSSO",
        "first_name": "CARLO",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-15",
        "last_updated": "2010-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "033871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2010; 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.