Individual provider Active NPI

Aisha Abbas Abdullahi, PA-C

  • Medical Physician Assistant
  • Atlanta, GA
National Provider Identifier
1063198463
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
11665 Issued in GA
Practice address
6135 Barfield Rd Ste 200
Atlanta, GA 30328-4308
Phone
(404) 256-8500
NPI assigned
Jun 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 11665 GA Primary

Addresses

Primary practice location

6135 Barfield Rd Ste 200
Atlanta, GA 30328-4308

Mailing address

6135 Barfield Rd Ste 200
Atlanta, GA 30328-4308
Phone (404) 256-8500

Other practice location 1

3400 Old Milton Pkwy Ste C500
Alpharetta, GA 30005-4408
Phone (678) 775-2284

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address aishaabdullahi@lmg.allscriptsdirect.net Direct
Direct Messaging Address aishaabdullahi@lmg.allscriptsdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231208002462 GA Practitioner - Physician Assistant 7517316003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laureate Medical Group at Northside, LLCGroup PAC ID 2668458530, 75 clinicians

Practice addresses (Care Compare)

3400 A Old Milton Pkwy
Alpharetta, GA 30005-4438
Phone (678) 775-2284

684 Sixes Rd
Suite 265
Holly Springs, GA 30115-8720
Phone (770) 720-2221

Merit-based Incentive Payment System (MIPS)

Final score
80.89 of 100Reported as group
Quality
76.16
Promoting interoperability
88
Improvement activities
40
Cost
70.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • Direct secure messaging: aishaabdullahi@lmg.allscriptsdirect.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1063198463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6135 BARFIELD RD STE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284308",
            "telephone_number": "404-256-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6135 BARFIELD RD STE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284308",
            "telephone_number": "404-256-8500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 Old Milton Pkwy Ste C500",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300054408",
            "country_code": "US",
            "telephone_number": "678-775-2284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABDULLAHI",
        "first_name": "AISHA",
        "middle_name": "ABBAS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-22",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "11665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aishaabdullahi@lmg.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct",
            "address_1": "3400 Old Milton Pkwy Ste C500",
            "city": "Alpharetta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300054408",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aishaabdullahi@lmg.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Edge",
            "address_1": "6135 Barfield Rd Ste 200",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303284308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.