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

Khaldoon J Al-Moosawi, MD

Individual provider Family Medicine Physician · NPI 1578849444

Khaldoon J Al-Moosawi, MD is a Family Practice in Suwanee, Georgia. Qualified in 2000, 26 years ago. Practices with Southland Consolidated Emergency Services LLC, a 67-clinician group and accepts Medicare assignment. Licensed in Georgia and North Carolina.

Years since qualifying
26
Licensed in
GA, NC
In the registry since
2011
Specialties on file
6
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

4245 Johns Creek Pkwy Ste A
Suwanee, GA 30024-9122
Phone: (678) 990-3962
Fax: (678) 840-3777
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sleep Medicine (Family Medicine) Physician (primary) Taxonomy 207QS1201X · Licence 069749 (GA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 005364 (GA)
Sleep Medicine (Family Medicine) Physician Taxonomy 207QS1201X · Licence 2015-00835 (NC)
Sleep Medicine (Family Medicine) Physician Taxonomy 207QS1201X · Licence 69749 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 2015-00835 (NC)
Family Medicine Physician Taxonomy 207Q00000X · Licence 069749 (GA)

Record details

NPI number1578849444
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 24, 2011
Last updated in NPPESNovember 8, 2016

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Southland Consolidated Emergency Services Llc — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Suwanee