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

Mushairat Mamun, PA

Individual provider Physician Assistant · NPI 1295423143

Mushairat Mamun, PA is a Physician Assistant in Marietta, Georgia. Qualified in 2024, 2 years ago. Practices with Avant Behavioral Consultants Inc, a 16-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
2
In the registry since
2023
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1121 Johnson Ferry Rd Ste 450
Marietta, GA 30068-5433
Phone: (770) 694-6349
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1295423143
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedApril 28, 2023
Last updated in NPPESSeptember 18, 2025
Certification dateSeptember 18, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Avant Behavioral Consultants Inc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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