Active NPI
Eden Mena Woubshet, MD
- Family Medicine Physician
- Decatur, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 98860
- Practice address
- 2675 N Decatur Rd Ste 601
Decatur, GA 30033-6134 - Phone
- (404) 501-2900
- NPI assigned
- Apr 17, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 98860 | GA | Primary |
Addresses
Primary practice location
2675 N Decatur Rd Ste 601
Decatur, GA 30033-6134
Mailing address
2675 N Decatur Rd Ste 601
Decatur, GA 30033-6134
Phone (404) 501-2900
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Medical College of Georgia School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1364 Clifton Rd NE
Atlanta, GA 30322-1059
Phone (404) 778-3900
Hospital & facility affiliations
- Emory Decatur Hospital
- Emory University Hospital
- Emory Hillandale Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.51 of 100
- Quality
- 80.61
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.51 of 100
- Quality
- 80.61
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emory Specialty Associates, LLC | Family Medicine | Current | Accepting new patients |
| Peachtree Immediate Care FP, LLC | Family Medicine | Current | Accepting new patients |
| Emory Medical Group, LLC | Past | Accepting new patients | |
| Dekalb Medical Primary Care Group LLC | Past | Accepting new patients |
Locations
1364 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 712-7100
1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812
450 14th St NW
Atlanta, GA 30318
Phone (404) 480-9797
2675 N Decatur Rd
Ste 601
Decatur, GA 30033
Phone (404) 501-2900
2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000
4500 N Shallowford Rd
Dunwoody, GA 30338
Phone (404) 778-6920
590 Lanier Ave W
Fayetteville, GA 30214
3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900
Interoperability endpoints
- ewoubshet92989@direct.emory.org
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Lagrange, GA
- NPI 1407864168
Family Medicine
-
- Family Medicine Physician
- Hiram, GA
- NPI 1437194156
-
- General Practice Physician
- Decatur, GA
- NPI 1104077171
-
- Oral and Maxillofacial Surgery Clinic/Center
- Atlanta, GA
- NPI 1568661510
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Decatur, GA
- NPI 1093716979
-
- General Acute Care Hospital
- Lithonia, GA
- NPI 1962403865
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1588640692
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1770560294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719360000000",
"number": "1154902526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2675 N DECATUR RD STE 601",
"city": "DECATUR",
"state": "GA",
"postal_code": "300336134",
"telephone_number": "404-501-2900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2675 N DECATUR RD STE 601",
"city": "DECATUR",
"state": "GA",
"postal_code": "300336134",
"telephone_number": "404-501-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOUBSHET",
"first_name": "EDEN",
"middle_name": "MENA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-17",
"last_updated": "2024-06-26",
"certification_date": "2024-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "98860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.