P Praxis·MD
● Active Type 1 · Individual

MR. Mustapha Timmy Issa, CRNA

Nurse Anesthetist, Certified Registered·Dacula, GA· NPI 1497227797 · Enumerated 2018 · 7 years on NPI
Issa is 1 of 1 nurse anesthetist, certified registered providers in Dacula and 1 of 2157 in Georgia.
NPI age
7 years
Enumerated 2018-12-26
Primary specialty
Nurse Anesthetist, Certified Registered
Plus 1 subspecialty
Licensed in
GA, SC
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-07-11
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 2157 active nurse anesthetist, certified registered providers in Georgia.

NPI age
7 years
↓ 8 yr below median (15 yr)
State licenses
2 states
Top 84% — 15% of peers are multi-state
Subspecialties
0
27% of peers hold subspecialties

NPI lifetime · 2018 → 2026

2018-12Enumerated in NPPES
2018 2026

Where they practice

Practice location
470 Dacula Rd Unit 145
Dacula, GA 300190102
📞 9545479602
Mailing address
470 Dacula Rd Unit 145
Dacula, GA 300190102
📞 9545479602

Specialties

  • Nurse Anesthetist, Certified Registered Primary
    (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in...
    GA license #214261SC license #24769 taxonomy 367500000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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