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DR. SULMAN MUGHAL MD
NPI 1992481956
Family Medicine in Marietta, GA

Active since June 26, 2023PECOS Enrolled
1898 CLAY DR., MARIETTA, GA 30064(678) 559-4258 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Sulman Mughal Md NPPES

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

DR. SULMAN MUGHAL MD (NPI 1992481956) is an individual family medicine provider in Marietta, Georgia, licensed in Georgia (15172) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1992481956
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SULMAN MUGHALCredential: MD
Location Address1898 CLAY DR.Marietta, GA 30064
Mailing Address1898 Clay Dr. SwMarietta, GA 30064 · (678) 559-4258
Phone(678) 559-4258
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 26, 2023
NPPES CertifiedJune 25, 2023
✔ NPI 1992481956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 15172
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.
1898 CLAY DR., Marietta, GA 30064
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sulman Mughal Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375903784
PECOS Enrollment IDI20260707002381
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 Sulman Mughal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wellstar Medical Group, LLC
3.1 mi
Internal Medicine
3825 MEDICAL PARK DR, SUITE 201
Austell, GA 30106
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group
NPI 1083917587 (770) 941-8100

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30064 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 Sulman Mughal's NPI number?

The NPI number for Sulman Mughal is 1992481956. It was assigned to this individual provider in the NPPES registry on June 26, 2023.

Where is Sulman Mughal located?

Sulman Mughal practices at 1898 Clay Dr., Marietta, GA 30064. The listed phone number is (678) 559-4258.

What is Sulman Mughal's specialty?

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

Is Sulman Mughal enrolled in Medicare?

Yes. Sulman Mughal is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sulman Mughal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sulman Mughal reassigns Medicare benefits to Wellstar Medical Group, LLC (Austell, GA). The 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 Sulman Mughal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sulman Mughal accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Sulman Mughal 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 Sulman Mughal was last updated on June 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.