MARY ABRAHAM (NPI# 1285644526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285644526 |
| Entity Type | Individual |
| Full Name | MARY ABRAHAM |
| Other Name | MARY PHILIP |
| Credential | MD |
| Practice Address |
350 Winn Way Decatur GA 30030-2106 |
| Practice Telephone | 4045081177 |
| Practice Fax Number | 4045089640 |
| Mailing Telephone | 4045081177 |
| Mailing Fax Number | 4045089640 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2007-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 056399 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 236258795B | 05 | |
| GA | WELLCARE | 335588 | 01 |
| GA | WELLCARE | 335853 | 01 |
| GA | 236258795D | 05 | |
| GA | UHC | 2625722 | 01 |
| GA | CIGNA | 2947741 | 01 |
| GA | BCBS | 52704327 | 01 |
| GA | 236258795C | 05 | |
| GA | WELLCARE | 335852 | 01 |
| GA | WELLCARE | 335854 | 01 |
| GA | AMERIGROUP | 10045386 | 01 |
| GA | 236258795A | 05 | |
| GA | AETNA | 7673845 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073876199 | Mary Abraham | Internal Medicine | 301 E 17th St Ste 1410, New York, NY 10003-3804 | 2012-06-22 |
| 1821203043 | Mary Leigh Abraham | Marriage & Family Therapist | 2100 Curtner Avenue, Suite F, San Jose, CA 95124 | 2007-05-11 |
| 1225696800 | Mary Kathryn Abraham | Physician Assistant | 715 S 9th St, Canon City, CO 81212-4911 | 2019-05-30 |
| 1841504438 | Mary K Abraham | Registered Nurse | 5301 East Huron River Drive, Ann Arbor, MI 48106 | 2010-08-06 |
| 1003963554 | Mary Melody Abraham | Obstetrics & Gynecology | 1145 19th St Nw, Suite 410, Washington, DC 20036 | 2007-01-05 |
| Street Address |
350 WINN WAY |
| City | DECATUR |
| State | GA |
| Zip Code | 30030-2106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659992899 | Mallory Maryruth Gray | Nurse Practitioner | 350 Winn Way, Decatur, GA 30030-2106 | 2020-04-28 |
| 1205255742 | Allison Buterbaugh Gay | Pediatrics | 350 Winn Way, Decatur, GA 30030-2106 | 2014-04-14 |
| 1376869420 | Laura Ashley Babcock | Pediatrics | 350 Winn Way, Decatur, GA 30030-2106 | 2010-04-14 |
| 1588824155 | Ashley Oliver Bufe | Pediatrics | 350 Winn Way, Decatur, GA 30030-2106 | 2008-06-16 |
| 1164695458 | Dekalb Pediatric Center | Pediatrics | 350 Winn Way, Decatur, GA 30030-2106 | 2008-04-08 |
| 1063573772 | Peggy Michelle Marcus | Pediatrics | 350 Winn Way, Decatur, GA 30030-2106 | 2006-12-13 |
| 1760552632 | Michal H Loventhal | Pediatrics | 350 Winn Way, Decatur, GA 30030-2106 | 2006-11-08 |
| 1811067796 | Rebecca L Kolesky | Pediatrics | 350 Winn Way, Decatur, GA 30030-2106 | 2006-11-08 |
| 1003986985 | Melinda E Shelton | Pediatrics | 350 Winn Way, Decatur, GA 30030-2106 | 2006-11-08 |
| 1053481937 | Deborah C Pollack | Pediatrics | 350 Winn Way, Decatur, GA 30030-2106 | 2006-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
| 1417587478 | Elizabeth Heffron | Acupuncturist | 619b East College Avenue, Decatur, GA 30030 | 2020-01-17 |
| 1669016143 | Atlanta Upper Cervical Chiropractic LLC | Chiropractor | 125 E Trinity Place, Suite #247, Decatur, GA 30030 | 2019-10-29 |
| 1831757418 | Jessica Stewart | Counselor | 755 Commerce Dr Ste 903, Decatur, GA 30030 | 2019-05-30 |
| 1699238733 | Dinah Augustin | Registered Nurse | 1458 Church St., Unit B, Decatur, GA 30030 | 2019-04-06 |
| 1093284291 | Eliza Segell | Social Worker | 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 | 2018-11-16 |
| 1912476466 | Positive Impact Health Centers, Inc. | Pharmacy | 523 Church Street, Suite B, Decatur, GA 30030 | 2018-11-14 |
| 1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
| 1992292858 | Keeanna M Powell | Counselor | Agape Transformation Practice, 235 E. Ponce De Leon Ave Suite 103, Decatur, GA 30030 | 2018-04-17 |
| 1780185488 | Solutions Ae Inc | Counselor | One West Square Court, Suite 710, Decatur, GA 30030 | 2018-02-27 |
| Find all providers in zip 30030 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003465162 | Emily Rhoades | Pediatrics | 637 E Snyder Dr, Decatur, IL 62526-4766 | 2019-09-10 |
| 1477013720 | Decatur Morgan Pediatrics | Pediatrics | 1215 7th St Se Ste 210, Decatur, AL 35601-3385 | 2019-03-22 |
| 1508363128 | Life Cycle Pediatrics, LLC | Pediatrics | 428 Winn Ct Ste 100a, Decatur, GA 30030-1726 | 2018-04-10 |
| 1063956902 | Anna Bowen | Pediatrics | 128 Fairview Ave, Decatur, GA 30030-2416 | 2016-12-12 |
| 1780057042 | William Walker | Pediatrics | 1561 Blackhall Ln Se, Decatur, AL 35601-6917 | 2015-11-09 |
| 1336542240 | Eva Harris | Pediatrics | 2613 Danforth Ln, Decatur, GA 30033-2214 | 2014-10-06 |
| 1750796967 | Sugantha Krishnan | Pediatrics | 1201 7th St Se Ste 210, Decatur, AL 35601-3337 | 2014-06-25 |
| 1093158370 | Ruth Wessen Stefanos | Pediatrics | 609 Medical Center Dr # 2218, Decatur, TX 76234-3836 | 2013-04-17 |
| 1265772917 | William Jennings Branan Jr. | Pediatrics | 2592 River Oak Drive, Decatur, GA 30033 | 2013-02-18 |
| 1245576115 | Sharmila Shetty | Pediatrics | 446 Woodhaven Dr, Decatur, GA 30030-1650 | 2012-12-21 |
| Find all providers in DECATUR | ||||
Please comment or provide details below to improve the information on MARY ABRAHAM.
| 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.