Individual provider Active NPI

Ishmael Muhammad

  • Nursing Care Agency
  • Lawrenceville, GA
National Provider Identifier
1851270938
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Practice address
79 Sandalwood Cir
Lawrenceville, GA 30046-5839
Phone
(470) 908-3458
Fax
(470) 908-3458
NPI assigned
Sep 2, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

79 Sandalwood Cir
Lawrenceville, GA 30046-5839

Mailing address

79 Sandalwood Cir
Lawrenceville, GA 30046-5839
Phone (470) 908-3458

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1756771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1851270938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 SANDALWOOD CIR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300465839",
            "telephone_number": "470-908-3458",
            "fax_number": "470-908-3458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 SANDALWOOD CIR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300465839",
            "telephone_number": "470-908-3458",
            "fax_number": "470-908-3458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUHAMMAD",
        "first_name": "ISHMAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-02",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.