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MCDONOUGH ADULT & PEDIATRIC MEDICAL CARE
NPI 1932484854
Internal Medicine in Stockbridge, GA

Active since October 12, 2011CLIA 11D2041539 · Waiver
130 EAGLE SPRING CT STE A, STOCKBRIDGE, GA 30281(678) 759-2278(678) 782-3260 Get Directions Write a Review

NPPES record last updated: October 30, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mcdonough Adult & Pediatric Medical Care NPPES

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

MCDONOUGH ADULT & PEDIATRIC MEDICAL CARE (NPI 1932484854) is a healthcare organization registered as an internal medicine in Stockbridge, Georgia and active in the NPI registry since October 2011. The organization holds a CLIA Waiver certificate valid through May 23, 2028, maintains a secondary practice location in Mcdonough, and lists Musharaf Momin, President, as its authorized official.

NPPES Registry Identity

NPI1932484854
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMCDONOUGH ADULT & PEDIATRIC MEDICAL CARE
Location Address130 EAGLE SPRING CT STE AStockbridge, GA 30281
Mailing Address130 Eagle Spring Ct Ste AStockbridge, GA 30281-7252 · (678) 759-2278 · Fax (678) 782-3260
Phone(678) 759-2278
Fax(678) 782-3260
Organization SubpartNo
Authorized OfficialMusharaf MominPresident · (404) 783-1767
Enumeration DateOctober 12, 2011
Last NPPES UpdateOctober 30, 2019
✔ NPI 1932484854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 055831
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.
130 EAGLE SPRING CT STE A, Stockbridge, GA 30281
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Secondary Practice Location 1

Location 11169 Highway 20 81McDonough, GA 30253-6521 · Phone (404) 783-1767 · Fax (770) 603-1122

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2041539

Mcdonough Adult & Pediatric Medical Care · Stockbridge, GA
Active · expires May 23, 2028
CLIA Number11D2041539
Laboratory TypePhysician Office
Certificate Effective DateMay 24, 2026
Certificate Expiration DateMay 23, 2028
Laboratory DirectorMusharaf Momin
Laboratory Phone(678) 759-2278
Laboratory LocationMcdonough Adult & Pediatric Medical Care130 Eagle Spring Court, Stockbridge, GA 30281
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

MUSHARAF MOMIN MD
Internal Medicine
130 EAGLE SPRING CT STE A
STOCKBRIDGE, GA 30281
Henry County (678) 759-2278

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 Mcdonough Adult & Pediatric Medical Care's NPI number?

The NPI number for Mcdonough Adult & Pediatric Medical Care is 1932484854. It was assigned to this organization in the NPPES registry on October 12, 2011.

Where is Mcdonough Adult & Pediatric Medical Care located?

Mcdonough Adult & Pediatric Medical Care is located at 130 Eagle Spring Ct Ste A, Stockbridge, GA 30281. The listed phone number is (678) 759-2278.

What is Mcdonough Adult & Pediatric Medical Care's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Mcdonough Adult & Pediatric Medical Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2041539) is associated with this NPI, valid through May 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mcdonough Adult & Pediatric Medical Care accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Mcdonough Adult & Pediatric Medical Care as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mcdonough Adult & Pediatric Medical Care was last updated on October 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.