Teresa Mustelier, PA
Individual provider Active NPI Physician Assistant · Atlanta, GA
NPI 1760434872 · NPPES record last updated Dec 19, 2008
Key facts
- NPI
- 1760434872
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 002319 (GA)
- Practice address
- 1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606 - Phone
- (404) 851-8000
- NPI assigned
- May 17, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070306000039 | GA | Practitioner - Physician Assistant | 0446353882 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002319 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care P.a. | Current |
Accepting new patients | |
| American Current Care P.a. | Current |
Accepting new patients | |
| American Current Care PA | Current | Accepting new patients |
Locations
688 Spring St NW
Atlanta, GA 30308
Phone (404) 881-1155
5080 Spectrum Dr
Ste 1200W
Addison, TX 75001
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 002319 | GA | |
| Physician Assistant | 363A00000X | 002319 | GA | Yes |
Addresses
Primary practice location
1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606
Mailing address
204 Fairview Ave
Decatur, GA 30030-2418
Phone (770) 779-0015
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100001328A | Medicaid | GA | |
| 100001328B | Medicaid | GA | |
| 333580 | Other | GA | WELLCARE |
| 100001328 | Medicaid | GA | |
| 10043470 | Other | GA | AMERIGROUP |
| 204856 | Other | GA | BCBS |
Other providers in Atlanta, GA
- Tyra Mussington
- Andrea Iman Mustafa
- Kamilah Subira Mustafa
- Malaka Mustafa
- Seema Mustafa
- Evan Charles Mustin
- Martina Laetitia Mustroph
- Olivia Mutanda
- Abby Dawn Mutic
- Merceline Kaveke Mutiso
All providers in Atlanta, GA · Physician Assistant in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.