Organization Active NPI

Muse Medical Clinic

  • General Practice Physician
  • Decatur, GA
National Provider Identifier
1851604862
Registry record updated Dec 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
039995 Issued in GA
Legal business name
MUSE MEDICAL CLINIC
Practice address
3300 Memorial Dr
Suite C-1
Decatur, GA 30032-2700
Phone
(678) 732-9087
Fax
(678) 732-9088
NPI assigned
Jul 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2013

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

Authorized official

Name
Dr. Jessie M Al-Amin, M.D.
Title
Director
Phone
(404) 345-8883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 039995 GA Primary

Addresses

Primary practice location

3300 Memorial Dr
Suite C-1
Decatur, GA 30032-2700

Mailing address

3300 Memorial Dr
Suite C-1
Decatur, GA 30032-2700
Phone (678) 732-9087

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2011861Muse Medical Clinic3300 Memorial Drive, Suite C-1, Decatur, GA 30032Certificate of waiverAug 23, 2026

National Provider Directory

National Provider Directory

Locations

3330 Memorial Dr
Ste C1
Decatur, GA 30032
Phone (678) 732-9087

3300 Memorial Dr
Ste C1
Decatur, GA 30032
Phone (678) 732-9087

3330 Memorial Dr
Ste C1
Decatur, GA 30032
Phone (678) 732-9087

NPI Registry JSON

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387152000000",
    "number": "1851604862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 MEMORIAL DR",
            "address_2": "SUITE C-1",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300322700",
            "telephone_number": "678-732-9087",
            "fax_number": "678-732-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 MEMORIAL DR",
            "address_2": "SUITE C-1",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300322700",
            "telephone_number": "678-732-9087",
            "fax_number": "678-732-9088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSE MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-19",
        "last_updated": "2013-12-16",
        "status": "A",
        "authorized_official_last_name": "AL-AMIN",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "404-345-8883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "GA",
            "license": "039995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.