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

Mitra Moshksaran, NP

Individual provider Nurse Practitioner · NPI 1689987430

Mitra Moshksaran, NP is a Nurse Practitioner in Atlanta, Georgia. Qualified in 2000, 26 years ago. Practices with Northside Cardiovascular Professional Services, LLC, a 142-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
26
Licensed in
GA
In the registry since
2010
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone: (404) 605-2800
Fax: (404) 351-5983
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN124145 (GA)
Nurse Practitioner Taxonomy 363L00000X · Licence RN124145 (GA)

Record details

NPI number1689987430
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 22, 2010
Last updated in NPPESMay 16, 2012
Mailing address275 Collier Rd Nw, Suite 500, Atlanta, GA 30309-1709

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Northside Cardiovascular Professional Services, Llc — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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