Individual provider Active NPI

Tom John Albunian Mayuga, DO

  • Family Medicine Physician
  • Newnan, GA
National Provider Identifier
1902433246
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
93028 Issued in GA
Practice address
51 Hospital Rd
Newnan, GA 30263-1209
Phone
(770) 251-5540
NPI assigned
Mar 25, 2020
Last updated
Jul 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 93028 GA Primary

Addresses

Primary practice location

51 Hospital Rd
Newnan, GA 30263-1209

Mailing address

51 Hospital Rd
Newnan, GA 30263-1209
Phone (770) 251-5540

Other practice location 1

110 Lloyd Ave
Tyrone, GA 30290-2124
Phone (770) 486-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230522001305 GA Practitioner - Family Practice 6305202177 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia Col of Osteo Med, Sewanee, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atlanta Primary Care Peachtree, PCGroup PAC ID 1254384720, 2 clinicians
Palmetto Health Council IncGroup PAC ID 3476586629, 6 clinicians

Practice addresses (Care Compare)

51 Hospital Rd
Newnan, GA 30263-1209
Phone (770) 251-5540

643 Main St
Palmetto, GA 30268-1138
Phone (770) 463-4644

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
93028GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Health Council Inc Family Medicine CurrentSince Jan 19, 2025 Accepting new patients
Atlanta Primary Care Peachtree, PC CurrentSince Feb 1, 2026 Accepting new patients
Mayuga Family Medicine LLC CurrentSince Mar 13, 2023 Accepting new patients

Locations

101 Commerce Pl
Ste 1
Barnesville, GA 30204
Phone (770) 358-4408

202 Croft St
Carrollton, GA 30117
Phone (770) 834-2255

236 Stockbridge Rd
Ste B2
Jonesboro, GA 30236
Phone (770) 742-9326

51 Hospital Rd
Newnan, GA 30263
Phone (770) 251-5540

507 Park St
Palmetto, GA 30268
Phone (770) 463-3307

643 Main St
Palmetto, GA 30268
Phone (404) 929-8824

440 Prime Pt
Peachtree Cty, GA 30269
Phone (770) 486-7470

48 Main St
Ste 3A
Senoia, GA 30276
Phone (678) 723-0400

3939 White House Pkwy
Warm Springs, GA 31830
Phone (706) 655-2267

16201 Barnesville St
Zebulon, GA 30295
Phone (770) 567-0334

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1902433246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 HOSPITAL RD",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302631209",
            "telephone_number": "770-251-5540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 HOSPITAL RD",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302631209",
            "telephone_number": "770-251-5540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Lloyd Ave",
            "address_purpose": "LOCATION",
            "city": "Tyrone",
            "state": "GA",
            "postal_code": "302902124",
            "country_code": "US",
            "telephone_number": "770-486-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYUGA",
        "first_name": "TOM JOHN",
        "middle_name": "ALBUNIAN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-25",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "93028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

Verify at the official NPI Registry.