Individual provider Active NPI

Moyosore M. Suleiman, MD

  • Hematology & Oncology Physician
  • Stockbridge, GA
National Provider Identifier
1770719650
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
063204 Issued in GA
Practice address
1045 Southcrest Dr Ste 200
Stockbridge, GA 30281-6113
Phone
(678) 289-0549
Fax
(678) 289-8756
NPI assigned
Jun 5, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 036122623 IL
Hematology & Oncology Physician 207RH0003X 4873 WI
Hospitalist Physician 208M00000X 063204 GA
Hematology & Oncology Physician 207RH0003X 063204 GA Primary

Addresses

Primary practice location

1045 Southcrest Dr Ste 200
Stockbridge, GA 30281-6113

Mailing address

1835 Savoy Dr Ste 300
Atlanta, GA 30341-1071
Phone (678) 289-0549

Other practice location 1

9576 Hwy 70
Minocqua, WI 54548-9067
Phone (715) 358-1861

Other practice location 2

1601 Watson Blvd.
Warner Robins, GA 31093
Phone (478) 322-4946

Other identifiers 3

IdentifierTypeStateIssuer
385795321PMedicaidGA
385795321OMedicaidGA
G07436AOtherGAMEDICARE PTAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address moyosore.suleimanmd.p1@direct.gacancer.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, WI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20091020000617 GA Practitioner - Internal Medicine 6709931546 Reassigns benefits to 3 organizations
I20181113002037 GA Practitioner - Hematology/Oncology 6709931546 Reassigns benefits to 2 organizations
I20241119004271 WI Practitioner - Internal MedicinePractitioner - Hematology/Oncology 6709931546 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hematology/Oncology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCHS Hospitals IncGroup PAC ID 5698071173, shared by 28 NPIs, 1,195 clinicians
Health Services of Central GeorgiaGroup PAC ID 9638076730, 300 clinicians
The Medical Center, Inc.Group PAC ID 9830094077, 31 clinicians
Flambeau Hospital, Inc.Group PAC ID 9032029871, shared by 6 NPIs, 40 clinicians

Practice addresses (Care Compare)

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

1120 Morningside Dr
Perry, GA 31069-2906
Phone (478) 987-3600

1831 5TH Ave
Suite 100
Columbus, GA 31904-8915
Phone (706) 320-8660

250 Lawrence Ave
Park Falls, WI 54552-1431
Phone (715) 762-2449

354 Linden St
Park Falls, WI 54552-1483
Phone (844) 305-9248

777 Hemlock St
Macon, GA 31201-2102
Phone (478) 633-1000

9576 Hwy 70
Minocqua, WI 54548-9067
Phone (715) 358-1710

98 Sherry Ave
Park Falls, WI 54552-1412
Phone (715) 762-2484

Hospital & facility affiliations

  • Marshfield Medical Center - Minocqua Hospital, Minocqua, WI, CCN 520212
  • Atrium Health Navicent the Medical Center Hospital, Macon, GA, CCN 110107
  • Piedmont Columbus Regional Midtown Hospital, Columbus, GA, CCN 110064
  • Flambeau Hospital Hospital, Park Falls, WI, CCN 521325
  • Marshfield Medical Center Hospital, Marshfield, WI, CCN 520037

Merit-based Incentive Payment System (MIPS)

Final score
71.19 of 100Reported as group
Quality
69.24
Improvement activities
40
Cost
51.37

Merit-based Incentive Payment System (MIPS)

Final score
80.58 of 100Reported as group
Quality
55.5
Promoting interoperability
100
Improvement activities
40
Cost
71.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4873WIMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital Inc CurrentSince Nov 12, 2024 Accepting new patients
Phoebe Putney Memorial Hospital Inc CurrentSince Jun 1, 2015 Accepting new patients
24 On Physicians, PC Hospitalist CurrentSince Oct 9, 2009 Accepting new patients
MCHS Hospitals Inc CurrentSince Nov 12, 2024 Accepting new patients
NSH Cancer Institute Professional Services G, LLC Hematology & Oncology CurrentSince Nov 5, 2018 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Nov 12, 2024 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Nov 12, 2024 Accepting new patients
Health Services of Central Georgia, Inc CurrentSince Sep 1, 2024 Accepting new patients
Marshfield Clinic Inc CurrentSince Nov 12, 2024 Accepting new patients
Phoebe Putney Memorial Hospital Inc CurrentSince Jun 1, 2015 Accepting new patients
Memorial Hospital Inc CurrentSince Nov 12, 2024 Accepting new patients
The Medical Center Inc CurrentSince Dec 1, 2024 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Nov 12, 2024 Accepting new patients
NSH Cancer Institute Professional Services G LLC CurrentSince Nov 5, 2018 Accepting new patients
Flambeau Hospital Inc CurrentSince Nov 12, 2024 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Flambeau Hospital Inc CurrentSince Nov 12, 2024 Accepting new patients
The Medical Center Inc CurrentSince Dec 1, 2024 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Nov 12, 2024 Accepting new patients
MCHS Hospitals Inc CurrentSince Nov 12, 2024 Accepting new patients
NSH Cancer Institute Professional Services G, LLC Hematology & Oncology Past Accepting new patients
Northside Imaging LLC Past Accepting new patients
Memorial Hospital Inc Past Accepting new patients

Locations

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

13000 Deerfield Pkwy
Ste 100
Alpharetta, GA 30004

1835 Savoy Dr
Ste 300
Atlanta, GA 30341
Phone (678) 288-9555

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

1831 5th Ave
Ste 100
Columbus, GA 31904
Phone (706) 320-8660

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

747 S 8th St
Ste C
Griffin, GA 30224
Phone (770) 228-0788

800 1st St
Ste 160
Macon, GA 31201
Phone (478) 633-3137

1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706

304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000

1045 Southcrest Dr
Ste 200
Stockbridge, GA 30281
Phone (678) 289-0549

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

9576 State Highway 70
Minocqua, WI 54548
Phone (715) 358-1000

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

3400 Ministry Pkwy
Weston, WI 54476
Phone (715) 393-1000

Interoperability endpoints

  • Direct secure messaging: msuleiman2941668@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: moyosore.suleimanmd.p1@direct.gacancer.nextgenshare.com

Organizations & group practices 24

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

View all 24

Hospital & facility affiliations 5

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": "1244160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1770719650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 SAVOY DR STE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303411071",
            "telephone_number": "678-289-0549",
            "fax_number": "678-289-8756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 SOUTHCREST DR STE 200",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816113",
            "telephone_number": "678-289-0549",
            "fax_number": "678-289-8756"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9576 Hwy 70",
            "address_purpose": "LOCATION",
            "city": "Minocqua",
            "state": "WI",
            "postal_code": "545489067",
            "country_code": "US",
            "telephone_number": "715-358-1861",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1601 Watson Blvd.",
            "address_purpose": "LOCATION",
            "city": "Warner Robins",
            "state": "GA",
            "postal_code": "31093",
            "country_code": "US",
            "telephone_number": "478-322-4946",
            "fax_number": "478-322-4947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULEIMAN",
        "first_name": "MOYOSORE",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-05",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036122623",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "WI",
            "license": "4873",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "063204",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "GA",
            "license": "063204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "385795321P",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "385795321O",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "G07436A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "moyosore.suleimanmd.p1@direct.gacancer.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Edge",
            "address_1": "1045 Southcrest Dr Ste 200",
            "city": "Stockbridge",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302816113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.