MEDICARE: DR. MOSHE M. USADI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	42964	GA
2	207Q00000X	Family Medicine Physician	200000645	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1423J	OTHER	NC	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629154554
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MOSHE M. USADI MD

Provider Business Mailing Address
First Line	:	1545 RAINIER FALLS DR NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30329-4105
Country	:	US
Telephone Number	:	770-750-5101
Fax Number	:	864-448-1760

Provider Business Practice Location Address
First Line	:	5665 NEW NORTHSIDE DR STE 320
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30328-5834
Country	:	US
Telephone Number	:	770-874-5400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/31/2006
Last Update Date	:	09/26/2025

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Directions to “ DR. MOSHE M. USADI MD” Practice Location

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