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

Dr. Mutiat Agbasionwe, MD

Individual provider Family Medicine Physician · NPI 1679142111

Dr. Mutiat Agbasionwe, MD is a Family Practice in Monroe, Georgia. Qualified in 2020, 6 years ago. Practices with Piedmont Medical Care Corporation, a 368-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
6
Licensed in
GA
In the registry since
2021
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

2161 W Spring St Ste A
Monroe, GA 30655-3196
Phone: (770) 267-8464
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 743 Spring Street, Suite 710, Gainesville, GA 30501 — (770) 219-8730

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 98698 (GA)

Record details

NPI number1679142111
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 19, 2021
Last updated in NPPESDecember 17, 2024
Certification dateDecember 17, 2024

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Piedmont Medical Care Corporation — 368 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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