NPIMap

Individual provider Active NPI

Mousa Alwawi, MD

  • Internal Medicine Physician
  • Warner Robins, GA
National Provider Identifier
1922057876
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
047566 Issued in GA
Practice address
301 Osigian Blvd
Warner Robins, GA 31088-8953
Phone
(478) 971-2130
Fax
(478) 971-2132
NPI assigned
May 9, 2006
Last updated
Aug 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 047566 GA Primary

Addresses

Primary practice location

301 Osigian Blvd
Warner Robins, GA 31088-8953

Mailing address

301 Osigian Blvd
Warner Robins, GA 31088-8953
Phone (478) 971-2130

Other identifiers 1

IdentifierTypeStateIssuer
B5003047GMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060201000657 GA Practitioner - Internal Medicine 5698789345 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Houston Hospitals IncGroup PAC ID 4284797580, 27 clinicians
Comprehensive Care Medical Offices, LLCGroup PAC ID 9335195338, 3 clinicians

Practice addresses (Care Compare)

1601 Watson Blvd
Warner Robins, GA 31093-3431
Phone (478) 922-4281

301 Osigian Blvd
Warner Robins, GA 31088-8953
Phone (478) 971-2130

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Care Medical Offices, LLC Internal Medicine CurrentSince Jan 1, 2002 Accepting new patients
Houston Hospitals Inc CurrentSince Aug 17, 2009 Accepting new patients
Houston Hospitals Inc Current Accepting new patients
Morningside Emergency Physicians LLC Past Accepting new patients
Georgia Department of Human Resources Past Accepting new patients

Locations

1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

301 Osigian Blvd
Warner Robins, GA 31088
Phone (478) 971-2130

Interoperability endpoints

  • Direct secure messaging: mousa.alwawi.1@15130.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1922057876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 OSIGIAN BLVD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888953",
            "telephone_number": "478-971-2130",
            "fax_number": "478-971-2132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 OSIGIAN BLVD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888953",
            "telephone_number": "478-971-2130",
            "fax_number": "478-971-2132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALWAWI",
        "first_name": "MOUSA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "047566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B5003047G",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

Verify at the official NPI Registry.