AYESHA MUSTAFA MD
NPI 1417759523
Internal Medicine in Macon, GA

Active since March 27, 2025PECOS Enrolled
777 HEMLOCK ST # 165, MACON, GA 31201(478) 633-1634 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 6, 2025, Mar 27, 2025 (2 updates tracked since 2025).

About Ayesha Mustafa Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AYESHA MUSTAFA MD (NPI 1417759523) is an individual internal medicine provider in Macon, Georgia, licensed in Georgia (17571) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417759523
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameAYESHA MUSTAFACredential: MD
Location Address777 HEMLOCK ST # 165Macon, GA 31201-2102
Mailing Address777 Hemlock St # 165Macon, GA 31201-2102 · (478) 633-1634
Sole ProprietorNo
Enumeration DateMarch 27, 2025
Last NPPES UpdateAugust 6, 20252 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
NPI 1417759523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in GA · 17571
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

777 HEMLOCK ST # 165, Macon, GA 31201

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ayesha Mustafa Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
777 HEMLOCK ST # 165
MACON, GA 31201
Family Medicine
777 HEMLOCK ST # 165
MACON, GA 31201
Internal Medicine
777 HEMLOCK ST # 165
MACON, GA 31201
Pediatrics
777 HEMLOCK ST # 165
MACON, GA 31201
Pediatrics
777 HEMLOCK ST # 165
MACON, GA 31201
Internal Medicine
777 HEMLOCK ST # 165
MACON, GA 31201
Internal Medicine
777 HEMLOCK ST # 165
MACON, GA 31201
Obstetrics & Gynecology
777 HEMLOCK ST # 165
MACON, GA 31201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417759523, enumerated as an "individual" on March 27, 2025.

The provider is located at 777 HEMLOCK ST # 165 MACON, GA 31201 and the phone number is (478) 633-1634.

Internal Medicine with taxonomy code 207R00000X.