Active NPI
Carlo A Musso, M.D.
- Specialist
- Stockbridge, GA
National Provider Identifier
1598089831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 033871
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 033871 | GA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Family Medicine Physician
- Locust Grove, GA
- NPI 1245554682
-
- Emergency Medical Services (Emergency Medicine) Physician
- Atlanta, GA
- NPI 1811946627
-
- Emergency Medical Services (Emergency Medicine) Physician
- Atlanta, GA
- NPI 1538118344
-
- General Acute Care Hospital
- Riverdale, GA
- NPI 1831190958
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.