Individual provider Active NPI

Muhammad Mahmood Alam, M.D.

  • Psychiatry Physician
  • Moultrie, GA
National Provider Identifier
1750558979
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
258294 Issued in NY
Practice address
3015 Veterans Pkwy S
Moultrie, GA 31788-6705
Phone
(229) 985-4815
NPI assigned
May 15, 2008
Last updated
Oct 22, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X
Psychiatry Physician 2084P0800X 069167 GA
Psychiatry Physician 2084P0800X 258294 NY Primary
Addiction Psychiatry Physician 2084P0802X 069167 GA

Addresses

Primary practice location

3015 Veterans Pkwy S
Moultrie, GA 31788-6705

Mailing address

3015 Veterans Pkwy S
Moultrie, GA 31788-6705
Phone (229) 985-4815

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
I20130724000634 GA Practitioner - Psychiatry 2466632278 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Turning Point Care Center LLCGroup PAC ID 1052305786, 15 clinicians

Practice addresses (Care Compare)

1015 W Blvd
Moultrie, GA 31768-4232
Phone (229) 873-6480

111 Sunset Cir
Moultrie, GA 31768-6921
Phone (229) 985-5121

20 11TH Ave SE
Moultrie, GA 31768-5650
Phone (229) 616-1044

3015 Veterans Pkwy S
Moultrie, GA 31788-6705
Phone (229) 985-4815

705 5TH Ave SE
Moultrie, GA 31768-4910
Phone (229) 616-1030

755 6TH Ave SE
Moultrie, GA 31768-4924
Phone (229) 985-5040

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
069167GAMDPsychiatry Physician
258294NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Turning Point Care Center LLC Psychiatric Hospital CurrentSince Jun 3, 2013 Accepting new patients
Turning Point Care Center LLC Psychiatric Hospital CurrentSince Jun 3, 2013 Accepting new patients
Clinical Social Work and Counseling Services of the Finger Lakes PastSince Aug 1, 1992 Accepting new patients

Locations

3015 Veterans Pkwy S
Moultrie, GA 31788
Phone (229) 873-6479

719 S Main St
Moultrie, GA 31768
Phone (229) 456-2022

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1750558979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 VETERANS PKWY S",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317886705",
            "telephone_number": "229-985-4815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 VETERANS PKWY S",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317886705",
            "telephone_number": "229-985-4815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAM",
        "first_name": "MUHAMMAD",
        "middle_name": "MAHMOOD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-15",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "069167",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "258294",
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "GA",
            "license": "069167",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moultrie, GA

Sources for this page

Verify at the official NPI Registry.