NPIMap

Individual provider Active NPI

Sohel Momin, MD

  • Internal Medicine Physician
  • Cumming, GA
National Provider Identifier
1760467013
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
054858 Issued in GA
Practice address
1400 Northside Forsyth Dr Ste 240
Cumming, GA 30041-6017
Phone
(770) 844-0877
Fax
(770) 844-0891
NPI assigned
Dec 9, 2005
Last updated
Dec 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 054858 GA Primary

Addresses

Primary practice location

1400 Northside Forsyth Dr Ste 240
Cumming, GA 30041-6017

Mailing address

1400 Northside Forsyth Dr Ste 240
Cumming, GA 30041-6017
Phone (770) 844-0877

Other identifiers 1

IdentifierTypeStateIssuer
589566942FMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041029000713 GA Practitioner - Internal MedicinePractitioner - Emergency Medicine 7810959061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Georgia School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians
North Atlanta Family Practice, LLCGroup PAC ID 7315967148, 8 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

100 Mountain View Dr
Suite 100
Cumming, GA 30040-2434
Phone (770) 889-2163

1400 Northside Forsyth Dr
Suite 240
Cumming, GA 30041-6017
Phone (770) 844-0877

2600 Compass Rd
Glenview, IL 60026-8001

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.97 of 100Reported as group
Quality
98.21
Improvement activities
40
Cost
62.27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
054858GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Atlanta Family Practice, LLC Internal Medicine CurrentSince Oct 1, 2005 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Adel Emergency Physicians, LLC Past Accepting new patients
Smith of Georgia, LLC Past Accepting new patients
Hospital Authority of Valdosta and Lowndes County, Georgia Past Accepting new patients

Locations

1400 Northside Forsyth Dr
Ste 240
Cumming, GA 30041
Phone (770) 292-3045

1505 Northside Blvd
Ste 2600
Cumming, GA 30041
Phone (678) 208-0700

Organizations & group practices 6

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 12

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": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1760467013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 NORTHSIDE FORSYTH DR STE 240",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416017",
            "telephone_number": "770-844-0877",
            "fax_number": "770-844-0891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 NORTHSIDE FORSYTH DR STE 240",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416017",
            "telephone_number": "770-844-0877",
            "fax_number": "770-844-0891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOMIN",
        "first_name": "SOHEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "054858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "589566942F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.