MALAKA MUSTAFA
NPI 1972000404
Physician Assistant - Medical in Atlanta, GA

Active since April 11, 2018PECOS Enrolled
303 PARKWAY DR NE, ATLANTA, GA 30312(404) 265-4000 Get Directions Write a Review

NPPES record last updated: July 18, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 18, 2018, Apr 11, 2018 (2 updates tracked since 2018).

About Malaka Mustafa NPPES

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

MALAKA MUSTAFA (NPI 1972000404) is an individual medical provider in Atlanta, Georgia, licensed in Georgia (8714) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972000404
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMALAKA MUSTAFA
Location Address303 PARKWAY DR NEAtlanta, GA 30312
Mailing Address219 Beaver Creek LnWoodstock, GA 30189-2552 · (706) 847-5252
Sole ProprietorNo
Enumeration DateApril 11, 2018
Last NPPES UpdateJuly 18, 20182 updates tracked since enumeration
✔ NPI 1972000404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in GA · 8714
303 PARKWAY DR NE, Atlanta, GA 30312

Other Identifiers 1

Other1972000404GA · Emergency Department

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Malaka Mustafa 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.

Medicare Billing Reassignment

Medicare enrollment records show Malaka Mustafa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pain Medicine
1498 JESSE JEWELL PKWY SE STE A
Gainesville, GA 30501
  • Physician assistant employed and billed by this organization, Georgia enrollment
  • 3 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.

Other Providers at the Same Location NPPES 20

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

Pathology (Anatomic Pathology & Clinical Pathology)
303 PARKWAY DR NE
ATLANTA, GA 30312
Student in an Organized Health Care Education/Training Program
303 PARKWAY DR NE
ATLANTA, GA 30312
Internal Medicine
303 PARKWAY DR NE, GME-INTERNAL MEDICINE
ATLANTA, GA 30312
Internal Medicine
303 PARKWAY DR NE
ATLANTA, GA 30312
Physician Assistant
303 PARKWAY DR NE, ER DEPT
ATLANTA, GA 30312
Emergency Medicine
303 PARKWAY DR NE
ATLANTA, GA 30312
Anesthesiologist Assistant
303 PARKWAY DR NE, PMB 404
ATLANTA, GA 30312
Student in an Organized Health Care Education/Training Program
303 PARKWAY DR NE
ATLANTA, GA 30312

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 Malaka Mustafa's NPI number?

The NPI number for Malaka Mustafa is 1972000404. It was assigned to this individual provider in the NPPES registry on April 11, 2018.

Where is Malaka Mustafa located?

Malaka Mustafa practices at 303 Parkway Dr NE, Atlanta, GA 30312. The listed phone number is (404) 265-4000.

What is Malaka Mustafa's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Malaka Mustafa enrolled in Medicare?

Yes. Malaka Mustafa is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Malaka Mustafa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Malaka Mustafa is a physician assistant employed by Thrive Medical Partners LLC (Gainesville, GA), which bills Medicare and receives payment for Malaka Mustafa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Malaka Mustafa was last updated on July 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.