DR. ELLIS MOSSADED (NPI# 1790195261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790195261 |
| Entity Type | Individual |
| Full Name | DR. ELLIS MOSSADED |
| Other Name | SHAHRIAR MOSSADED |
| Credential | M.D. |
| Practice Address |
3889 Cobb Pkwy Nw Acworth GA 30101 |
| Mailing Address |
3889 Cobb Pkwy Nw Acworth GA 30101-4084 |
| Practice Telephone | 7709751299 |
| Mailing Telephone | 7709751299 |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2018-07-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | 74500 | GA | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 074500 | GA | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | P92721 | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 150 Riverside Dr, New York, NY 100242298 | 7182997295 | 7182996797 |
| 2435 Us Highway 19 Ste 200, Holiday, FL 346913904 | 8049332280 | |
| 4529 Se 34th Pl, Ocala, FL 344807351 | 8137532444 |
| Street Address |
3889 COBB PKWY NW |
| City | ACWORTH |
| State | GA |
| Zip Code | 30101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144278623 | Dante Vincent Gurgigno | Chiropractor | 3889 Cobb Pkwy Nw, Acworth, GA 30101-4084 | 2006-05-05 |
| 1578871885 | Melissa F Stroud | Registered Nurse | 3889 Cobb Pkwy Nw, Acworth, GA 30101-4084 | 2010-09-21 |
| 1528009859 | Ui Ho Park | Specialist | 3889 Cobb Pkwy Nw, Acworth, GA 30101-4084 | 2006-06-09 |
| 1093767923 | Synergy Medical Centers, LLC. | Specialist | 3889 Cobb Pkwy Nw, Acworth, GA 30101-4084 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952931552 | A3j Incorporated | Registered Nurse | 3905 Cobb Pkwy Nw Ste 305, Acworth, GA 30101 | 2020-01-22 |
| 1043869852 | Sharron Leigh Lipscomb | Acupuncturist | 3661 Cedarcrest Rd Ste 320, Acworth, GA 30101 | 2019-09-05 |
| 1699322933 | Cowry Home Dialysis LLC | Durable Medical Equipment & Medical Supplies | 4450 Calibre Crossings Nw, Suite # 1122, Acworth, GA 30101 | 2019-08-21 |
| 1760979595 | Sandra Jeanetta Pugh | Counselor | 118 Clubhouse Crossing, Acworth, GA 30101 | 2018-04-17 |
| 1679926950 | Cindy Hatfield Fruits | Psychologist | 4839 N. Main Street, Acworth, GA 30101 | 2016-07-21 |
| 1396192563 | Philip Young | Specialist/Technologist | 4841 Lake Park Lane, Acworth, GA 30101 | 2016-05-18 |
| 1770960619 | Karen Fuller | Marriage & Family Therapist | 2487 Cedarcrest Rd Ste 722, Acworth, GA 30101 | 2015-04-29 |
| 1366830333 | Willard Hogan IIi | Physician Assistant | 1720 Mars Hill Rd Nw Ste 8-175, Acworth, GA 30101 | 2014-12-29 |
| 1386042083 | Sebastian Diaz Fischer | Chiropractor | 2639 Hickory Grove Rd, Suit 150, Ackworth, GA 30101 | 2014-12-11 |
| 1841699337 | J Chappell Md PC | Dermatology | 4450 Calibre Crossings, Suite 1208, Acworth, GA 30101 | 2014-08-20 |
| Find all providers in zip 30101 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386260131 | Midnight Rose, LLC | General Practice | 6380 Bells Ferry Rd, Acworth, GA 30102-5435 | 2020-06-17 |
| 1619395506 | Christen Weber | General Practice | 4421 Carnes St, Acworth, GA 30101-5305 | 2014-03-28 |
| 1508106600 | Kali L Gordon | General Practice | 6380 Bells Ferry Rd Ste 107, Acworth, GA 30102-5435 | 2013-02-26 |
| 1174626543 | Richard William Kimmerling | General Practice | 5610 Forkwood Dr Nw, Acworth, GA 30101-8023 | 2006-09-07 |
| 1275781759 | Clj Healthcare, LLC | General Practice | 6572 Highway 92, Suite 200, Acworth, GA 30102-7562 | 2008-09-09 |
| 1104000660 | Clara M Picayo Md Professional Corporation | General Practice | 5570 Bells Ferry Rd, Acworth, GA 30102-2526 | 2007-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225638166 | Ihealthgp, LLC | General Practice | 10202 Masters Way, Alpharetta, GA 30005-8842 | 2020-10-29 |
| 1447861950 | Phynova Mso, LLC | General Practice | 1718 Peachtree St Nw Ste 380, Atlanta, GA 30309-2498 | 2020-08-10 |
| 1811507247 | Magnolia Medical Center LLC | General Practice | 101 Chase Ct Nw Ste B, Milledgeville, GA 31061-7188 | 2020-07-31 |
| 1952927279 | Total Health Solutions Medical Center | General Practice | 12220 Birmingham Hwy Ste A, Milton, GA 30004-4184 | 2020-06-23 |
| 1477176394 | Optimal Choice Telehealth | General Practice | 1227 Rockbidge Rd Sw, Ste 208-354, Stone Mountain, GA 30087 | 2020-05-27 |
| 1053946004 | Proactive Medical Center | General Practice | 3455 Peachtree Industrial Blvd Ste 910, Duluth, GA 30096-6502 | 2020-03-10 |
| 1285265546 | Idea Body Institute Atlanta Asc | General Practice | 371 E Paces Ferry Rd Ne Ste 450, Atlanta, GA 30305-3292 | 2020-01-27 |
| 1730729849 | Summit Health Primary and Urgent Care LLC | General Practice | 120 Handley Rd Bldg 400 Ste #410, Tyrone, GA 30290-3029 | 2020-01-07 |
| 1770121030 | New Life Medical Centers Georgia LLC | General Practice | 3550 Lenox Rd Ne Ste 2100, Atlanta, GA 30326-1810 | 2019-12-18 |
| 1659919066 | Ivydale Wellness Center | General Practice | 361 Resource Pkwy, Winder, GA 30680-8364 | 2019-12-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.