Baagan Mahama

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN336560 Issued in GA

Practice address

4325 1St Ave # 913
Tucker, GA 30084-4498

Phone

(404) 494-0883

NPI assigned

Dec 23, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1766448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1730044645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4325 1ST AVE # 913",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844498",
            "telephone_number": "404-494-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4325 1ST AVE # 913",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844498",
            "telephone_number": "404-494-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHAMA",
        "first_name": "BAAGAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-12-23",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "975440",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN336560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Lyons, DC
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• Yelta P Malone, LCSW
• Kaylan Maloney, LAPC
• Mehtab Manji

• Registered Nurse in Tucker, GA
• Providers in Tucker, GA by specialty
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; 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.