Individual provider Active NPI

Malek Mushref, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Athens, GA
National Provider Identifier
1619339124
Registry record updated Jun 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
88454 Issued in GA
Practice address
1270 Prince Ave Ste 201
Athens, GA 30606-2789
Phone
(706) 475-7055
NPI assigned
Mar 23, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 88454 GA Primary

Addresses

Primary practice location

1270 Prince Ave Ste 201
Athens, GA 30606-2789

Mailing address

218 Thornhill Dr
Apartment Number 3
Athens, GA 30607-1740
Phone (706) 461-2306

Other practice location 1

1199 Prince Ave
Athens, GA 30606-2797
Phone (706) 475-5076

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20211006001374 GA Practitioner - Internal Medicine 4587956214 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Piedmont Athens Primary Care LLCGroup PAC ID 0648520841, 80 clinicians
Piedmont Athens Specialty Care LLCGroup PAC ID 8820349772, 116 clinicians

Practice addresses (Care Compare)

1199 Prince Ave
Athens, GA 30606-2797
Phone (706) 475-7000

1500 Oglethorpe Ave
Suite 3600
Athens, GA 30606-2191
Phone (706) 546-7646

Hospital & facility affiliations

  • Piedmont Athens Regional Medical Center Hospital, Athens, GA, CCN 110074
  • St Mary'S Hospital Hospital, Athens, GA, CCN 110006
  • Piedmont Walton Hospital Hospital, Monroe, GA, CCN 110046

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
88454GAMDEndocrinology, Diabetes & Metabolism Physician
8204GAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Athens Specialty Care LLC CurrentSince Jun 8, 2022 Accepting new patients
Piedmont Athens Primary Care LLC CurrentSince Oct 1, 2021 Accepting new patients
Piedmont Providers LLC CurrentSince Jun 8, 2022 Accepting new patients
Piedmont Athens Hospitalist Physicians LLC Past Accepting new patients

Locations

1270 Prince Ave
Ste 201
Athens, GA 30606
Phone (470) 271-3427

2142 W Broad St
Bldg 200
Athens, GA 30606
Phone (706) 548-6881

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

1500 Oglethorpe Ave
Ste 3600
Athens, GA 30606
Phone (706) 475-4917

1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210

340 Exchange Blvd
Bethlehem, GA 30620
Phone (678) 963-7171

1301 Sigman Rd NE
Ste 280
Conyers, GA 30012
Phone (678) 413-6278

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1619339124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 THORNHILL DR",
            "address_2": "APARTMENT NUMBER 3",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306071740",
            "telephone_number": "706-461-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 PRINCE AVE STE 201",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062789",
            "telephone_number": "706-475-7055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1199 Prince Ave",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306062797",
            "country_code": "US",
            "telephone_number": "706-475-5076",
            "fax_number": "706-475-6676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUSHREF",
        "first_name": "MALEK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-23",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "GA",
            "license": "88454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.