Active NPI
Eligio Quiros Abellera, M.D.
- Community Health Worker
- Sandy Springs, GA
National Provider Identifier
1104002229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 16008
- Practice address
- 827 Stratford CT
Sandy Springs, GA 30350-4155 - Phone
- (678) 395-3422
- NPI assigned
- Jan 18, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 16008 | GA | Primary |
Addresses
Primary practice location
827 Stratford CT
Sandy Springs, GA 30350-4155
Mailing address
827 Stratford CT
Sandy Springs, GA 30350-4155
Phone (678) 395-3422
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16008 | GA | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448841600000",
"number": "1104002229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "827 STRATFORD CT",
"city": "SANDY SPRINGS",
"state": "GA",
"postal_code": "303504155",
"telephone_number": "678-395-3422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "827 STRATFORD CT",
"city": "SANDY SPRINGS",
"state": "GA",
"postal_code": "303504155",
"telephone_number": "678-395-3422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABELLERA",
"first_name": "ELIGIO",
"middle_name": "QUIROS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-18",
"last_updated": "2015-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "GA",
"license": "16008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sandy Springs, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.