Active NPI
Mujtaba S Sheikh, MD
- Pediatrics Physician
- Braselton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 055702
- Practice address
- 1270 Friendship Rd
Braselton, GA 30517-5630 - Phone
- (678) 207-4200
- Fax
- (770) 533-4771
- NPI assigned
- Sep 2, 2006
- Last updated
- Feb 4, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 055702 | GA | Primary |
Addresses
Primary practice location
1270 Friendship Rd
Braselton, GA 30517-5630
Mailing address
PO Box 1060
Oakwood, GA 30566-0018
Phone (770) 718-1122
Other practice location 1
743 Spring St NE
Gainesville, GA 30501-3715
Phone (770) 535-3611
Other practice location 2
155 Professional Dr
Baldwin, GA 30511-4000
Phone (706) 776-2368
Other practice location 3
725 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3834
Phone (770) 535-3611
Other practice location 4
4095 S Lee St
Buford, GA 30518-3647
Phone (770) 932-8519
Other practice location 5
1400 River Pl
Braselton, GA 30517-5600
Phone (770) 535-3611
Other practice location 6
4019 Executive Drive
Oakwood, GA 30566-3433
Phone (770) 533-6500
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2928517070B | Medicaid | GA | |
| 2928517070C | Medicaid | GA | |
| 424145 | Other | GA | WELLCARE |
| 582117020030 | Other | GA | TRICARE |
| 582117020 | Other | GA | TRICARE |
| 01191774 | Other | GA | AMERIGROUP |
| 2928517070D | Medicaid | GA | |
| 52703777 | Other | GA | BCBS |
| 2928517070F | Medicaid | GA | |
| 582117020024 | Other | GA | TRICARE |
| 7955625 | Other | GA | AETNA |
| 530652 | Other | GA | WELLCARE |
| 2928517070E | Medicaid | GA | |
| 454241 | Other | GA | WELLCARE |
| 454249 | Other | GA | WELLCARE |
| 424208 | Other | GA | WELLCARE |
| 4858323 | Other | GA | CIGNA |
| 582117020018 | Other | GA | TRICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 89.1 of 100
- Quality
- 87.6
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.07
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 055702 | GA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Longstreet Clinic PC | Current | Accepting new patients | |
| The Longstreet Clinic, PC | Pediatrics | Current | Accepting new patients |
| Northeast Georgia Community Physicians LLC | Current | Accepting new patients |
Locations
155 Professional Dr
Baldwin, GA 30511
Phone (706) 776-2368
1270 Friendship Rd
Braselton, GA 30517
Phone (678) 207-4200
1400 River Pl
Braselton, GA 30517
Phone (770) 219-6000
4095 S Lee St
Buford, GA 30518
Phone (770) 932-8519
725 Jesse Jewell Pkwy SE
Gainesville, GA 30501
Phone (770) 297-2200
743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915
4019 Executive Dr
Oakwood, GA 30566
Phone (770) 533-6500
Interoperability endpoints
- mitch.sheikh@longstreetclinic.gadirect.net
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.
-
dba Longstreet of NGHS
- Internal Medicine Physician
- Gainesville, GA
- NPI 1881583730
-
- Prosthetic/Orthotic Supplier
- Gainesville, GA
- NPI 1053422428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770163200000",
"number": "1770685547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1060",
"city": "OAKWOOD",
"state": "GA",
"postal_code": "305660018",
"telephone_number": "770-718-1122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1270 FRIENDSHIP RD",
"city": "BRASELTON",
"state": "GA",
"postal_code": "305175630",
"telephone_number": "678-207-4200",
"fax_number": "770-533-4771"
}
],
"practiceLocations": [
{
"address_1": "743 Spring St NE",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "GA",
"postal_code": "305013715",
"country_code": "US",
"telephone_number": "770-535-3611",
"fax_number": "770-535-7092",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "155 Professional Dr",
"address_purpose": "LOCATION",
"city": "Baldwin",
"state": "GA",
"postal_code": "305114000",
"country_code": "US",
"telephone_number": "706-776-2368",
"fax_number": "706-776-2589",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "725 Jesse Jewell Pkwy SE",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "GA",
"postal_code": "305013834",
"country_code": "US",
"telephone_number": "770-535-3611",
"fax_number": "770-535-7092",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4095 S Lee St",
"address_purpose": "LOCATION",
"city": "Buford",
"state": "GA",
"postal_code": "305183647",
"country_code": "US",
"telephone_number": "770-932-8519",
"fax_number": "770-533-4798",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1400 River Pl",
"address_purpose": "LOCATION",
"city": "Braselton",
"state": "GA",
"postal_code": "305175600",
"country_code": "US",
"telephone_number": "770-535-3611",
"fax_number": "770-535-7092",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4019 Executive Drive",
"address_purpose": "LOCATION",
"city": "Oakwood",
"state": "GA",
"postal_code": "305663433",
"country_code": "US",
"telephone_number": "770-533-6500",
"fax_number": "770-533-6543",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHEIKH",
"first_name": "MUJTABA",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-02",
"last_updated": "2026-02-04",
"certification_date": "2026-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "055702",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2928517070B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2928517070C",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "424145",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "582117020030",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "582117020",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "01191774",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2928517070D",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "52703777",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2928517070F",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "582117020024",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7955625",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "530652",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2928517070E",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "454241",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "454249",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "424208",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "4858323",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "582117020018",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Braselton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.