1. Home
  2. Directory
  3. Georgia
  4. Roswell
  5. Family Medicine
  6. NPI Profile

ALPHARETTA ROSWELL FAMILY PRACTICE
NPI 1982783304
Family Medicine in Roswell, GA

Active since November 05, 2006CLIA 11D1021772 · Waiver
2404 MACY DR, ROSWELL, GA 30076(770) 640-8814(770) 640-8815 Get Directions Write a Review

NPPES record last updated: November 23, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Alpharetta Roswell Family Practice NPPES

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

ALPHARETTA ROSWELL FAMILY PRACTICE (NPI 1982783304) is a healthcare organization registered as a family medicine in Roswell, Georgia and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through November 3, 2026 and lists Farzana B Mumtaz, Owner, as its authorized official.

NPPES Registry Identity

NPI1982783304
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMUMTAZ MUMTAZ INC
Location Address2404 MACY DRRoswell, GA 30076-6343
Mailing Address2404 Macy DrRoswell, GA 30076-6343 · (770) 640-8814 · Fax (770) 640-8815
Phone(770) 640-8814
Fax(770) 640-8815
Organization SubpartNo
Authorized OfficialFarzana B MumtazOwner · (770) 640-8814
Enumeration DateNovember 5, 2006
Last NPPES UpdateNovember 23, 2010
✔ NPI 1982783304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2404 MACY DR, Roswell, GA 30076
Open in Google Maps ↗

Other Names 1

Doing Business AsAlpharetta Roswell Family Practice

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 ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alpharetta Roswell Family Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Alpharetta Roswell Family Practice, which bills Medicare for the services this clinician delivers.

Clinician (1)

Farzana Mumtaz, M.D.
Family Practice
NPI 1861571291
2404 MACY DR
Roswell, GA 30076
(770) 640-8814
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 11D1021772

Alpharetta Roswell Family Practice · Roswell, GA
Active · expires Nov 3, 2026
CLIA Number11D1021772
Laboratory TypePhysician Office
Certificate Effective DateNovember 4, 2024
Certificate Expiration DateNovember 3, 2026
Laboratory DirectorFarzana B. Mumtaz
Laboratory Phone(770) 640-8814
Laboratory LocationAlpharetta Roswell Family Practice2404 Macy Drive, Roswell, GA 30076
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Mumtaz Mumtaz Inc's NPI number?

The NPI number for Mumtaz Mumtaz Inc is 1982783304. It was assigned to this organization in the NPPES registry on November 5, 2006. The provider is doing business as Alpharetta Roswell Family Practice.

Where is Mumtaz Mumtaz Inc located?

Mumtaz Mumtaz Inc is located at 2404 Macy Dr, Roswell, GA 30076. The listed phone number is (770) 640-8814.

What is Mumtaz Mumtaz Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mumtaz Mumtaz Inc enrolled in Medicare?

Yes. Mumtaz Mumtaz Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mumtaz Mumtaz Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Mumtaz Mumtaz Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Mumtaz Mumtaz Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1021772) is associated with this NPI, valid through November 3, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mumtaz Mumtaz Inc accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Mumtaz Mumtaz Inc 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 Mumtaz Mumtaz Inc was last updated on November 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.