Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ellis Mossaded, MD

Individual provider General Practice Physician · NPI 1790195261

Dr. Ellis Mossaded, MD is a General Practice in Gainesville, Georgia. Qualified in 1984, 42 years ago. Practices with Complexcare Medical Group Southeast H PLLC, a 12-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
42
Licensed in
GA
In the registry since
2014
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2200 Old Hamilton Pl
Gainesville, GA 30507-7892
Phone: (770) 532-2066
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 74500 (GA)

Record details

NPI number1790195261
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 5, 2014
Last updated in NPPESApril 8, 2025
Certification dateApril 8, 2025
Mailing address6065 Roswell Rd, Sandy Springs, GA 30328-4011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 1984 (42 years in practice)
Group practice Complexcare Medical Group Southeast H Pllc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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