DR. ELLIS MOSSADED M.D.
NPI 1790195261
General Practice in Gainesville, GA
About Dr. Ellis Mossaded M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ELLIS MOSSADED M.D. (NPI 1790195261) is an individual general practice provider in Gainesville, Georgia, licensed in Georgia (74500) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and is a graduate of Other (1984).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Ellis Mossaded M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
5Medicare enrollment records show Ellis Mossaded reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Plant City, FL 33563
- Reassigned Medicare billing, Georgia enrollment
- 15 clinicians in this Medicare group
Novi, MI 48375
- Reassigned Medicare billing, Georgia enrollment
- 110 clinicians in this Medicare group
Novi, MI 48375
- Reassigned Medicare billing, Georgia enrollment
- 29 clinicians in this Medicare group
Bronx, NY 10453
- Reassigned Medicare billing, New York enrollment
- 1,393 clinicians in this Medicare group
Bronx, NY 10461
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Bronx Medical Practice PC
- 1,013 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 10
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northeast Georgia Medical Center, Inc
Acute Care Hospitals · Gainesville, GAOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Ellis Mossaded's NPI number?
The NPI number for Ellis Mossaded is 1790195261. It was assigned to this individual provider in the NPPES registry on May 5, 2014. The provider is also known as Shahriar Mossaded M.D..
Where is Ellis Mossaded located?
Ellis Mossaded practices at 2200 Old Hamilton Pl, Gainesville, GA 30507. The listed phone number is (770) 532-2066.
What is Ellis Mossaded's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Ellis Mossaded enrolled in Medicare?
Yes. Ellis Mossaded is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Ellis Mossaded's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ellis Mossaded reassigns Medicare benefits to 5 organizations: Ctd Network LLC (Plant City, FL), Theoria Medical (Novi, MI), Complexcare Medical Group Southeast H PLLC (Novi, MI), Essen Medical Associates, PC (Bronx, NY) and Bronx Medical Practice P.C. (Bronx, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ellis Mossaded's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Ellis Mossaded affiliated with any hospitals?
According to CMS data, Ellis Mossaded is affiliated with Northeast Georgia Medical Center, Inc.
When was this NPI record last updated?
The NPPES record for Ellis Mossaded was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Dr. Ellis Mossaded, M.D. · NPI 1790195261
General Practice physician in Gainesville, Georgia. Individual provider, active in the CMS NPPES registry since May 5, 2014.
## Identity
- **NPI:** 1790195261 (Entity type: Individual)
- **Enumerated:** May 5, 2014
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** 74500 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 2200 OLD HAMILTON PL, Gainesville, GA 30507-7892
- **Phone:** (770) 532-2066
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Ctd Network LLC (NPI 1851039762, Plant City, FL); Theoria Medical (NPI 1609362375, Novi, MI); Complexcare Medical Group Southeast H PLLC (NPI 1083508238, Novi, MI); Essen Medical Associates, PC (NPI 1366418709, Bronx, NY); Bronx Medical Practice P.C. (NPI 1356726087, Bronx, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1984
## Record status
- **NPPES last updated:** April 8, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1790195261) · Data from the CMS NPPES public registry.