Active NPI
Muse Medical Clinic
- General Practice Physician
- Decatur, GA
National Provider Identifier
1851604862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 039995
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2011861 | Muse Medical Clinic | Certificate of waiver | Aug 23, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.