Organization Active NPI

Musharaf Momin Inc

Doing business as McDonough Adult & Pediatric Medical Care

  • Internal Medicine Physician
  • Stockbridge, GA
National Provider Identifier
1932240124
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MUSHARAF MOMIN INC
Doing business as
McDonough Adult & Pediatric Medical Care
Practice address
130 Eagle Spring CT
Stockbridge, GA 30281-7274
Phone
(678) 759-2278
NPI assigned
Feb 9, 2007
Last updated
May 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Authorized official

Name
Dr. Musharaf Momin, M.DNPI 1366483844
Title
President
Phone
(404) 783-1767

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

130 Eagle Spring CT
Stockbridge, GA 30281-7274

Mailing address

2437 Lake Erma Dr
Hampton, GA 30228-6087
Phone (404) 783-1558

Other practice location 1

1169 Highway 20 81 Hampton Rd
McDonough, GA 30253
Phone (404) 783-1767

Other names 1

  • McDonough Adult & Pediatric Medical Care Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Stockbridge Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111107000383 GA Part B Supplier - Clinic/Group Practice 1153594262 Receives reassigned benefits from 1 practitioner
Practice locations: Stockbridge, GA

National Provider Directory

National Provider Directory
Tax ID family
McDonough Adult Pediatric Medical Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

130 Eagle Spring Ct
Stockbridge, GA 30281
Phone (678) 759-2278

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747699200000",
    "number": "1932240124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2437 LAKE ERMA DR",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302286087",
            "telephone_number": "404-783-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 EAGLE SPRING CT",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817274",
            "telephone_number": "678-759-2278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1169 Highway 20 81 Hampton Rd",
            "address_purpose": "LOCATION",
            "city": "McDonough",
            "state": "GA",
            "postal_code": "30253",
            "country_code": "US",
            "telephone_number": "404-783-1767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MUSHARAF MOMIN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A",
        "authorized_official_last_name": "MOMIN",
        "authorized_official_first_name": "MUSHARAF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-783-1767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Stockbridge",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "130 Eagle Spring Ct",
            "city": "Stockbridge",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302817274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "McDonough Adult & Pediatric Medical Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "McDonough Adult & Pediatric Medical Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.