MAZEN A. ABDALLA M.D. – NPI #1467420893
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Health Care Provider Taxonomy Code for Internal Medicine

MAZEN ABDALLA is a physician located in SNELLVILLE, GA. NPPES has assigned the NPI number 1467420893 to MAZEN ABDALLA on March 10, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 4 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was previously updated about 6 years ago on Dec 10, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MAZEN ABDALLA below.

NPI Profile for
MAZEN A. ABDALLA

NPI Number
1467420893
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MAZEN A. ABDALLA
Credentials
M.D.
Primary location
2386 CLOWER ST STE C105
SNELLVILLE, GA 30078-6107
Phone: (678) 344-0334 Fax: (678) 344-0343
4 Other location(s):
1501 Milstead Rd NE Ste 150
Conyers, GA 30012-3857
Phone: (678) 344-0334
Fax: (678) 344-0343
10132 Carlin Drive
Covington, GA 30014
Phone: (678) 344-0334
Fax: (678) 344-0343
3370 Sugarloaf Pkwy Ste A1
Lawrenceville, GA 30044-5491
Phone: (678) 344-0334
Fax: (678) 344-0343
4805 Lawrenceville Hwy NW Ste 320
Lilburn, GA 30047-3800
Phone: (678) 344-0334
Fax: (678) 344-0343
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Dec 10, 2019

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MAZEN ABDALLA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERLICENSE NUMBERGA38414
OTHERLICENSE NUMBERSC29423
MEDICAIDGA00612752D
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)		 GA 038414

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
MAZEN ABDALLA is affiliated with the following medical group(s):
  • HOSPITAL
    • NORTHSIDE HOSPITAL
      1000 JOHNSON FERRY ROAD, NE
      ATLANTA, GA 30342
    • NORTHSIDE HOSPITAL GWINNETT
      1000 MEDICAL CENTER BOULEVARD
      LAWRENCEVILLE, GA 30046
    • PIEDMONT NEWTON HOSPITAL
      5126 HOSPITAL DRIVE NE
      COVINGTON, GA 30014
    • PIEDMONT ROCKDALE HOSPITAL
      1412 MILSTEAD AVENUE, NE
      CONYERS, GA 30012
    • SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC
      5665 PEACHTREE DUNWOODY ROAD
      ATLANTA, GA 30342
  • DIALYSIS FACILITY
    • DAVITA CONYERS DIALYSIS
      1501 Milstead Rd NE
      CONYERS, GA 30012
    • DAVITA NEWTON COUNTY DIALYSIS
      10132 CARLIN DR
      COVINGTON, GA 30014

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If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.