Active NPI
Moyosore M. Suleiman, MD
- Hematology & Oncology Physician
- Stockbridge, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 063204
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 385795321P | Medicaid | GA | |
| 385795321O | Medicaid | GA | |
| G07436A | Other | GA | MEDICARE PTAN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | moyosore.suleimanmd.p1@direct.gacancer.nextgenshare.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- MCHS Hospitals IncFlambeau Hospital, Inc.
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
- Atrium Health Navicent the Medical Center
- Piedmont Columbus Regional Midtown
- Flambeau Hospital
- Marshfield Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 71.19 of 100
- Quality
- 69.24
- Improvement activities
- 40
- Cost
- 51.37
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.58 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4873 | WI | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital Inc | Current | Accepting new patients | |
| Phoebe Putney Memorial Hospital Inc | Current | Accepting new patients | |
| 24 On Physicians, PC | Hospitalist | Current | Accepting new patients |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| NSH Cancer Institute Professional Services G, LLC | Hematology & Oncology | Current | Accepting new patients |
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| Lakeview Medical Center Inc of Rice Lake | Current | Accepting new patients | |
| Health Services of Central Georgia, Inc | Current | Accepting new patients | |
| Marshfield Clinic Inc | Current | Accepting new patients | |
| Phoebe Putney Memorial Hospital Inc | Current | Accepting new patients | |
| Memorial Hospital Inc | Current | Accepting new patients | |
| The Medical Center Inc | Current | Accepting new patients | |
| Lakeview Medical Center Inc of Rice Lake | Current | Accepting new patients | |
| NSH Cancer Institute Professional Services G LLC | Current | Accepting new patients | |
| Flambeau Hospital Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Flambeau Hospital Inc | Current | Accepting new patients | |
| The Medical Center Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | 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
- msuleiman2941668@carolinashealthcaresystem.direct-ci.com
- 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.
-
- Multi-Specialty Clinic/Center
- Macon, GA
- NPI 1184679482
-
- General Acute Care Hospital
- Columbus, GA
- NPI 1255401519
-
- Hospitalist Physician
- Rome, GA
- NPI 1912956251
-
- Hematology & Oncology Physician
- Sandy Springs, GA
- NPI 1144571381
-
- General Acute Care Hospital
- Albany, GA
- NPI 1992789721
-
- Clinic/Center
- Beaver Dam, WI
- NPI 1972188555
-
- Clinic/Center
- Park Falls, WI
- NPI 1194317966
-
- Critical Access Hospital
- Park Falls, WI
- NPI 1700963048
-
- Clinic/Center
- Rice Lake, WI
- NPI 1093201832
-
- Clinic/Center
- Marshfield, WI
- NPI 1952347981
-
- Clinic/Center
- Marshfield, WI
- NPI 1093221434
-
- Critical Access Hospital
- Ladysmith, WI
- NPI 1952890873
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Columbus, GA
- NPI 1255401519
-
- General Acute Care Hospital
- Macon, GA
- NPI 1043270564
-
- Critical Access Hospital
- Park Falls, WI
- NPI 1700963048
-
- Rural Acute Care Hospital
- Minocqua, WI
- NPI 1376197665
-
- Rural Acute Care Hospital
- Marshfield, WI
- NPI 1942749387
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.