Individual provider Active NPI

Muhammad Mateen Akmal, M.D.

  • Family Medicine Physician
  • Ellijay, GA
National Provider Identifier
1932269818
Registry record updated Apr 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
044665 Issued in GA
Practice address
200 Industrial Blvd Ste 114
Ellijay, GA 30540-3721
Phone
(706) 636-4364
Fax
(706) 636-5264
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2010

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 044665 GA Primary

Addresses

Primary practice location

200 Industrial Blvd Ste 114
Ellijay, GA 30540-3721

Mailing address

194 Aspen Ave
Ellijay, GA 30536-4499
Phone (706) 636-4364

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
I20101007000523 GA Practitioner - Family Practice 7214051358 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Meharry Medical College School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 Industrial Blvd
Suite 114
Ellijay, GA 30540-3721
Phone (706) 363-4364

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Top Primary Care Medical Associates CurrentSince Jul 21, 2000 Accepting new patients
Morehouse Healthcare, Inc. PastSince Jul 1, 2012 Accepting new patients

Locations

200 Industrial Blvd
#B
Ellijay, GA 30540

200 Industrial Blvd
Ste 114
Ellijay, GA 30540
Phone (706) 363-4364

Interoperability endpoints

  • Direct secure messaging: makmal@mtpc.adaptamed.direct-ci.com
  • Direct secure messaging: muhammad.akmal.1@27555.direct.athenahealth.com

Organizations & group practices 2

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

Hospital & facility affiliations 2

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272412800000",
    "number": "1932269818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 ASPEN AVE",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305364499",
            "telephone_number": "706-636-4364",
            "fax_number": "706-636-5264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 INDUSTRIAL BLVD STE 114",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305403721",
            "telephone_number": "706-636-4364",
            "fax_number": "706-636-5264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKMAL",
        "first_name": "MUHAMMAD",
        "middle_name": "MATEEN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2010-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "044665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellijay, GA

Sources for this page

Verify at the official NPI Registry.