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

Mariam Mustapha, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1376221739

Mariam Mustapha, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Loganville, Georgia. Practices with Piedmont Anesthesia LLC, a 554-clinician group and accepts Medicare assignment. Licensed in Georgia.

Licensed in
GA
In the registry since
2023
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

624 Henson Farm Dr
Loganville, GA 30052-6528
Phone: (678) 709-9828
Show map & directions

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

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence RN275428 (GA)

Record details

NPI number1376221739
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJuly 6, 2023
Last updated in NPPESAugust 6, 2025
Certification dateAugust 6, 2025
Mailing address624 Henson Farm Dr, Loganville, GA 30052-6528

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Group practice Piedmont Anesthesia Llc — 554 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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