NPI age
11 years
Enumerated 2014-06-16
● Active
Type 1 · Individual
DR. Mohammed Mehboob Qureshi, D.O.
Qureshi is 1 of 2 family medicine providers in Ellenwood and 1 of 66 in Georgia.
Primary specialty
Family Medicine
Plus 1 subspecialty
Licensed in
GA, TX
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-09-15
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 66 active family medicine providers in Georgia.
NPI age
11 years
↓ 4 yr below median (15 yr)
State licenses
2 states
Top 71% — 28% of peers are multi-state
Subspecialties
0
54% of peers hold subspecialties
NPI lifetime · 2014 → 2026
2014-06Enumerated in NPPES
2014
2026
Where they practice
Practice location
211 Fairview Rd
Ellenwood, GA 302942721
Mailing address
3333 Riverwood Pkwy Se Ste 250
Atlanta, GA 303393304
Specialties
-
Family Medicine PrimaryA family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 424350301 | |
| 05 (TX) | 424350302 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 14 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.