EDDIE K. ABDALLA (NPI# 1235225889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235225889 |
| Entity Type | Individual |
| Full Name | EDDIE K. ABDALLA |
| Credential | M.D. |
| Practice Address |
980 Johnson Ferry Rd Suite 170 Atlanta GA 30342-1626 |
| Practice Telephone | 4043002140 |
| Practice Fax Number | 4043002240 |
| Mailing Telephone | 4043002140 |
| Mailing Fax Number | 4043002240 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-10-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
K7959 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | RR MEDICARE | 020043965 | 01 |
| TX | BCBS | 84691X | 01 |
| TX | 37438101 | 05 |
| Street Address |
980 JOHNSON FERRY RD SUITE 170 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342-1626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184611808 | Bradley Scott Davidson | Surgery | 980 Johnson Ferry Rd, Ste 940, Atlanta, GA 30342-1626 | 2005-09-29 |
| 1619410222 | Judith Ann Dipasquale | Social Worker | 980 Johnson Ferry Rd, Suite 570, Atlanta, GA 30342-1626 | 2016-11-30 |
| 1811353956 | Silver Plastic Surgery Center | Otolaryngology | 980 Johnson Ferry Rd, Suite 110, Atlanta, GA 30342-1626 | 2016-01-05 |
| 1225416258 | Lindsay Lewis | Physician Assistant | 980 Johnson Ferry Rd, Ste 1040, Atlanta, GA 30342-1626 | 2015-05-11 |
| 1528472354 | North Atlanta Eye Care, LLC | Ophthalmology | 980 Johnson Ferry Rd, Suite 550, Atlanta, GA 30342-1626 | 2014-06-19 |
| 1093147498 | Sarah Morrison Guthrie | Physician Assistant | 980 Johnson Ferry Rd, Suite 1040, Atlanta, GA 30342-1626 | 2013-08-07 |
| 1497016968 | Easton Beshears | Physician Assistant | 980 Johnson Ferry Rd, Suite 820, Atlanta, GA 30342-1626 | 2012-05-31 |
| 1588939151 | Ellen Smead | Nurse Practitioner | 980 Johnson Ferry Rd, Atlanta, GA 30342-1626 | 2012-03-15 |
| 1508157041 | Nisha A Lakhi | Obstetrics & Gynecology | 980 Johnson Ferry Rd, Suite 940, Atlanta, GA 30342 | 2011-05-02 |
| 1598066011 | Kenya M Ragland | Nurse Practitioner | 980 Johnson Ferry Rd, Ste 820, Atlanta, GA 30342-1626 | 2010-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
| Find all providers in zip 30342 | ||||
| Taxonomy Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902003684 | Nicole Kounalakis | Surgery | 980 Johnson Fy Rd Ne Ste 940a, Atlanta, GA 30342-1609 | 2007-06-27 |
| 1780746289 | Cletus Anthony Arciero | Surgery | 1364 Clifton Road, Ne, Emory University Hospital, Atlanta, GA 30322 | 2006-12-14 |
| 1083634067 | William Wood | Surgery | 1327 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2006-07-20 |
| 1487898276 | Preeti Dilip Subhedar | Surgery | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2009-04-24 |
| 1134132657 | Charles Augustin Staley | Surgery | 1365 Clifton Rd Ne, Bldg C, Atlanta, GA 30322-1013 | 2006-08-14 |
| 1417960931 | David Kooby | Surgery | 1365 Clifton Rd Ne, 2nd Floor, Atlanta, GA 30322-1013 | 2006-08-14 |
| 1366454753 | Toncred M Styblo | Surgery | 1365 Clifton Rd Ne, Bldg C, Atlanta, GA 30322-1013 | 2006-08-13 |
| 1124030390 | Keith Delman | Surgery | 1365 Clifton Rd Ne, Bldg C, Atlanta, GA 30322-1013 | 2006-08-13 |
| 1376567339 | Sheryl Gabram | Surgery | 1365c Clifton Rd Ne, Atlanta, GA 30322-1013 | 2006-07-26 |
| 1114949237 | Monica Rizzo | Surgery | 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2006-07-25 |
| Find all providers in ATLANTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.