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SELAMAWIT MOLA FNP
NPI 1619673944
Nurse Practitioner - Family in Stone Mountain, GA

Active since February 07, 2023PECOS Enrolled
5468 MEMORIAL DR STE D, STONE MOUNTAIN, GA 30083(404) 963-2142(404) 963-2098 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 18, 2024, Feb 16, 2023, Feb 7, 2023 (3 updates tracked since 2023).

About Selamawit Mola Fnp NPPES

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

SELAMAWIT MOLA FNP (NPI 1619673944) is an individual family provider in Stone Mountain, Georgia, licensed in Georgia (RN212894) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619673944
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSELAMAWIT MOLACredential: FNP
Location Address5468 MEMORIAL DR STE DStone Mountain, GA 30083-3267
Mailing Address5468 Memorial Dr Ste DStone Mountain, GA 30083-3267 · (404) 963-2142 · Fax (404) 963-2098
Phone(404) 963-2142
Fax(404) 963-2098
Sole ProprietorNo
Enumeration DateFebruary 7, 2023
Last NPPES UpdateSeptember 18, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2024
✔ NPI 1619673944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN212894
5468 MEMORIAL DR STE D, Stone Mountain, GA 30083
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Selamawit Mola Fnp 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 30083 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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 2

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

SALAM CLINIC PRIMARY AND URGENT CARE
Clinic/Center (Primary Care)
5468 MEMORIAL DR STE D
STONE MOUNTAIN, GA 30083
Dekalb County (404) 963-2142
ETSUBDENKE AREAYA NP
Nurse Practitioner
5468 MEMORIAL DR STE D
STONE MOUNTAIN, GA 30083
Dekalb County (404) 963-2142

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Selamawit Mola's NPI number?

The NPI number for Selamawit Mola is 1619673944. It was assigned to this individual provider in the NPPES registry on February 7, 2023.

Where is Selamawit Mola located?

Selamawit Mola practices at 5468 Memorial Dr Ste D, Stone Mountain, GA 30083. The listed phone number is (404) 963-2142.

What is Selamawit Mola's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Selamawit Mola enrolled in Medicare?

Yes. Selamawit Mola is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Selamawit Mola was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.