Sabina Abdullayev, FNP

Individual provider Active NPI Nurse Practitioner · Cumming, GA

NPI 1104501113 · NPPES record last updated Jul 17, 2023

Key facts

NPI
1104501113
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
RN258960 (GA)
Practice address
205 Canton Rd
Cumming, GA 30040-2303
Phone
(770) 781-9824
NPI assigned
Jun 19, 2023
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RN258960GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The World of Pediatrics Past
since Jun 1, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN258960 GA Yes

Addresses

Primary practice location

205 Canton Rd
Cumming, GA 30040-2303

Mailing address

5065 Victory Ridge LN
Roswell, GA 30075-3975
Phone (404) 784-8628

Other providers in Cumming, GA

All providers in Cumming, GA · Nurse Practitioner in Georgia

Sources for this page

Verify at the official NPI Registry.