Lilian Mugwede

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN209723 Issued in GA

Practice address

1023 Privy LN
Stone Mountain, GA 30083-4769

Phone

(678) 458-7080

NPI assigned

Oct 24, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, CO, OH3 enrollments

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 3

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Georgia Mso LLCGroup PAC ID 3173041639, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Georgia Mso LLC

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1952196164
  Medicare reassignment Care Compare group NPD
• Hardy Renew Wellness,LLC

  • Internal Medicine Physician
  • Marietta, GA
  • NPI 1952914368
  Medicare reassignment NPD
• Imperial Lilly Holistic Health

  • Family Nurse Practitioner
  • Decatur, GA
  • NPI 1114722766
  Medicare reassignment NPD
• Alignmed Partners, PC

  dba GPS Physician Group PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Gardendale, AL
  • NPI 1881109452

  GA

  Medicare reassignment NPD
• Caremed Ohio LLC

  • Multi-Specialty Clinic/Center
  • Kenton, OH
  • NPI 1669123949
  Medicare reassignment NPD
• Medical Director Services PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Princess Anne, MD
  • NPI 1871955807

  GA

  Medicare reassignment NPD
• Provider Partners Care Management LP

  • Nurse Practitioner
  • Columbia, MD
  • NPI 1013348028

  GA

  Medicare reassignment NPD
• Geps Physician Group of Georgia PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Atlanta, GA
  • NPI 1881064467
  NPD
• Caremed Health Solutions of Colorado LLC

  • Multi-Specialty Clinic/Center
  • Colorado Springs, CO
  • NPI 1568122059
  NPD

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1629580196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 PRIVY LN",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300834769",
            "telephone_number": "678-458-7080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 PRIVY LN",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300834769",
            "telephone_number": "678-458-7080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 Jacob Parrot Rd",
            "address_purpose": "LOCATION",
            "city": "Kenton",
            "state": "OH",
            "postal_code": "433269506",
            "country_code": "US",
            "telephone_number": "212-734-6621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUGWEDE",
        "first_name": "LILIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-24",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN209723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mountain Park Primary Care Center
• Mountain Specialty Pharmacy LLC
• Mqa Enrichment Services LLC
• Mqa Enrichment Services LLC
• Ian James Mudge, L.P.C.
• Bryan Muriel, COTA
• Russ Murphy
• Tonya L Murphy, PT
• Yolanda Murphy
• Tiffiny M Murry

• Family Nurse Practitioner in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.