NPIMap

Individual provider Active NPI

Abraham Mathai, M.D., PH.D.

  • Internal Medicine Physician
  • Jasper, GA
National Provider Identifier
1215468483
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
88913 Issued in GA
Practice address
1020 J L White Dr Ste 170
Jasper, GA 30143-4910
Phone
(706) 692-2437
NPI assigned
Mar 21, 2017
Last updated
Aug 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 88913 GA Primary
Pediatrics Physician 208000000X 88913 GA

Addresses

Primary practice location

1020 J L White Dr Ste 170
Jasper, GA 30143-4910

Mailing address

101 Riverstone Vis Ste 206
Blue Ridge, GA 30513-6668
Phone (706) 492-3200

Other practice location 1

101 Riverstone Vis Ste 206
Blue Ridge, GA 30513-6668
Phone (706) 492-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210621002321 GA Practitioner - Internal Medicine 0042576514 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Tufts University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Piedmont Medical Care CorporationGroup PAC ID 6002802220, 368 clinicians
Piedmont Professional Services LLCGroup PAC ID 8921176231, 171 clinicians

Practice addresses (Care Compare)

1020 J L White Dr
Suite 170
Jasper, GA 30143-4910
Phone (706) 692-2437

1855 Hudson Bridge Rd
Stockbridge, GA 30281-5000
Phone (678) 732-1529

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.59 of 100Reported as group
Quality
88.06
Promoting interoperability
100
Improvement activities
40
Cost
80.58

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
88913GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Professional Services, LLC CurrentSince Aug 20, 2025 Accepting new patients
Piedmont Medical Care Corporation Internal Medicine CurrentSince May 9, 2024 Accepting new patients
Piedmont Providers LLC Internal Medicine Past Accepting new patients
Tulane Internal Medicine Past Accepting new patients

Locations

105 Collier Rd NW
Ste 5020
Atlanta, GA 30309
Phone (404) 350-3860

1267 Highway 54 W
Ste 2200
Fayetteville, GA 30214
Phone (470) 271-3415

1020 J L White Dr
Ste 170
Jasper, GA 30143
Phone (706) 692-2437

1855 Hudson Bridge Rd
Stockbridge, GA 30281
Phone (678) 565-0353

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1215468483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RIVERSTONE VIS STE 206",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305136668",
            "telephone_number": "706-492-3200",
            "fax_number": "706-492-3206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 J L WHITE DR STE 170",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301434910",
            "telephone_number": "706-692-2437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Riverstone Vis Ste 206",
            "address_purpose": "LOCATION",
            "city": "Blue Ridge",
            "state": "GA",
            "postal_code": "305136668",
            "country_code": "US",
            "telephone_number": "706-492-3200",
            "fax_number": "706-492-3206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHAI",
        "first_name": "ABRAHAM",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-21",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "88913",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "88913",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, GA

Sources for this page

Verify at the official NPI Registry.