Juan Antonio Mujica, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

023193 Issued in GA

Practice address

210 Village Center Pkwy
Stockbridge, GA 30281-9044

Phone

(770) 474-5952

Fax

(770) 474-1300

NPI assigned

Jun 21, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262736000000",
    "number": "1760488282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 VILLAGE CENTER PKWY",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819044",
            "telephone_number": "770-474-5952",
            "fax_number": "770-474-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 VILLAGE CENTER PKWY",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819044",
            "telephone_number": "770-474-5952",
            "fax_number": "770-474-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUJICA",
        "first_name": "JUAN",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2010-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "023193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD GA",
            "identifier": "591423",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "D30300",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "580685000",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harold William Moss, M.D.
• Latoya S Moss, NCC, LPC, CPCS
• Moye'S Pharmacy, Inc.
• Moyes Pharmacy Inc
• Rebecca Mueller, PAC
• Mamoud Watfer Murad, CRNA
• David A. Murphy, D.D.S.
• Joshua Murphy, MD
• Lucy Murray, PA-C
• Amanda Michelle Murrish

• Specialist in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; 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.