Individual provider Active NPI

Muhammad Omair Ahsan Ata, DO

  • Psychiatry Physician
  • Gainesville, GA
National Provider Identifier
1942763362
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
95923 Issued in GA
Practice address
1075 Jesse Jewell Pkwy NE Ste a
Gainesville, GA 30501-3814
Phone
(770) 219-8720
NPI assigned
Apr 11, 2019
Last updated
Mar 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X S9844 TX
Neurology Physician 2084N0400X 95923 GA
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X 95923 GA Primary

Addresses

Primary practice location

1075 Jesse Jewell Pkwy NE Ste a
Gainesville, GA 30501-3814

Mailing address

PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8720

Other practice location 1

4080 McGinnis Ferry Rd Ste 104
Alpharetta, GA 30005-3901
Phone (404) 913-3533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210428000653 AL Practitioner - Psychiatry 2668728932 Reassigns benefits to 8 organizations
I20230926001174 GA Practitioner - Psychiatry 2668728932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Main Street Clinic, LLCGroup PAC ID 6002235801, 3 clinicians

Practice addresses (Care Compare)

1075 Jesse Jewell Pkwy NE
Suite B
Gainesville, GA 30501-3814
Phone (770) 219-9200

1508 Cogswell Ave
Pell City, AL 35125-1243
Phone (256) 418-4300

Merit-based Incentive Payment System (MIPS)

Final score
87.83 of 100Reported as group
Quality
80.36
Promoting interoperability
100
Improvement activities
40
Cost
79.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S9844TXMDAddiction Medicine (Psychiatry & Neurology) Physician
95923GAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southview Medical Clinic LLC CurrentSince Sep 18, 2023 Accepting new patients
Valley Medical Clinic LLC CurrentSince Oct 22, 2023 Accepting new patients
Behavioral Health Management, LLC Psychiatry Current Accepting new patients
Premier Medical Clinic LLC CurrentSince Oct 9, 2023 Accepting new patients
American Drug Testing Lab LLC Current Accepting new patients
Med Care LLC CurrentSince Mar 30, 2021 Accepting new patients
Horizon Medical Clinic LLC CurrentSince Sep 18, 2023 Accepting new patients
Main Street Clinic, LLC CurrentSince Sep 18, 2023 Accepting new patients
Northeast Georgia Physicians Group Inc Neurology CurrentSince Aug 1, 2023 Accepting new patients
Smart Care, LLC CurrentSince Sep 18, 2023 Accepting new patients
Horizon Healthcare LLC CurrentSince Oct 9, 2023 Accepting new patients
Northeast Georgia Medical Center, Inc. Past Accepting new patients
Valley Head Clinic LLC PastSince Oct 9, 2023 Accepting new patients

Locations

205 Grand Ave NW
Ste A
Fort Payne, AL 35967
Phone (256) 635-6600

1436 Gunter Ave
Guntersville, AL 35976
Phone (256) 202-1111

307 Main St SW
Hanceville, AL 35077
Phone (256) 352-0188

2345 2nd Ave E
Ste B
Oneonta, AL 35121
Phone (205) 625-3332

1508 Cogswell Ave
Pell City, AL 35125
Phone (205) 814-1598

331 Parks Ave
Scottsboro, AL 35768
Phone (256) 259-4745

506 Harley St
Scottsboro, AL 35768
Phone (256) 259-1234

506 Harley St
Ste D
Scottsboro, AL 35768
Phone (256) 259-1232

801 North St E
Talladega, AL 35160
Phone (256) 362-3005

4080 McGinnis Ferry Rd
Ste 104
Alpharetta, GA 30005
Phone (404) 913-3533

1075 Jesse Jewell Pkwy NE
Ste B
Gainesville, GA 30501
Phone (770) 219-9200

597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275

Interoperability endpoints

  • Direct secure messaging: muhammad.ata.1@34225.direct.athenahealth.com

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1942763362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742616",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742616",
            "telephone_number": "770-219-8720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 JESSE JEWELL PKWY NE STE A",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013814",
            "telephone_number": "770-219-8720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4080 McGinnis Ferry Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300053901",
            "country_code": "US",
            "telephone_number": "404-913-3533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATA",
        "first_name": "MUHAMMAD",
        "middle_name": "OMAIR AHSAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-11",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "TX",
            "license": "S9844",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "95923",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "95923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.