Moallim Mohamed, is a
Home Health Aide based in Clarkston, Georgia. Moallim Mohamed is licensed to practice in Georgia (license number PHCP013263) and his current practice location is
116 Ridge Creek Dr, Clarkston, Georgia. He can be reached at his office (for appointments etc.) via phone at
(678) 665-0570.
NPI number for Moallim Mohamed is 1891523833 and his current mailing address is 116 Ridge Creek Dr, Clarkston, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1891523833.
Provider's Profile
Full Name | Moallim Mohamed |
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Gender | Male |
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Speciality | Home Health Aide |
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Location | 116 Ridge Creek Dr, Clarkston, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1891523833
- Provider Enumeration Date: 07/22/2024
- Last Update Date: 07/22/2024
Medical Identifiers
Medical identifiers for Moallim Mohamed such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891523833 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WH0200X | Registered Nurse - Home Health | RN323743 (Georgia) | Secondary |
374U00000X | Home Health Aide | PHCP013263 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Moallim Mohamed is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Moallim Mohamed, 116 Ridge Creek Dr, Clarkston, GA 30021-2000 Ph: (678) 665-0570 | Moallim Mohamed, 116 Ridge Creek Dr, Clarkston, GA 30021-2000 Ph: (678) 665-0570 |
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