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MOHMEDALI HASMATALI MOMIN FNP
NPI 1902749989
Nurse Practitioner - Family in Dacula, GA

Active since April 13, 2026PECOS Enrolled
2096 STANCIL POINT DR, DACULA, GA 30019(404) 610-5564 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 1, 2026, Apr 13, 2026 (2 updates tracked since 2026).

About Mohmedali Hasmatali Momin Fnp NPPES

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

MOHMEDALI HASMATALI MOMIN FNP (NPI 1902749989) is an individual family provider in Dacula, Georgia, licensed in Georgia (NP239484) and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902749989
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMOHMEDALI HASMATALI MOMINCredential: FNP
Location Address2096 STANCIL POINT DRDacula, GA 30019-5916
Mailing Address2096 Stancil Point DrDacula, GA 30019-5916 · (404) 610-5564
Phone(404) 610-5564
Sole ProprietorYes
Enumeration DateApril 13, 2026
Last NPPES UpdateJune 1, 20262 updates tracked since enumeration
NPPES CertifiedJune 1, 2026
✔ NPI 1902749989 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 · NP239484
2096 STANCIL POINT DR, Dacula, GA 30019
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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)

Mohmedali Hasmatali Momin 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 30019 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.

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 Mohmedali Momin's NPI number?

The NPI number for Mohmedali Momin is 1902749989. It was assigned to this individual provider in the NPPES registry on April 13, 2026.

Where is Mohmedali Momin located?

Mohmedali Momin practices at 2096 Stancil Point Dr, Dacula, GA 30019. The listed phone number is (404) 610-5564.

What is Mohmedali Momin's specialty?

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

Is Mohmedali Momin enrolled in Medicare?

Yes. Mohmedali Momin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mohmedali Momin was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.