NPIMap

Individual provider Active NPI

Afu Mohammad Abdul, MD

  • Nephrology Physician
  • Cartersville, GA
National Provider Identifier
1285834838
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
070329 Issued in GA
Practice address
200 Gentilly Blvd
Cartersville, GA 30120-8504
Phone
(470) 490-6510
Fax
(470) 490-6517
NPI assigned
Jul 23, 2007
Last updated
Dec 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 070329 GA Primary

Addresses

Primary practice location

200 Gentilly Blvd
Cartersville, GA 30120-8504

Mailing address

221 Technology Pkwy NW
Rome, GA 30165-1369
Phone (706) 295-5331

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address afu.abdul.1@1498.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140207001271 AL Practitioner - Internal MedicinePractitioner - Nephrology 8123267812 Reassigns benefits to 1 organization
I20171016002748 GA Practitioner - Nephrology 8123267812 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Harbin Clinic LLCGroup PAC ID 0446154231, 238 clinicians

Practice addresses (Care Compare)

150 Gentilly Blvd
Cartersville, GA 30120-8522
Phone (470) 490-7470

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospital Inc Current Accepting new patients
Harbin Clinic, LLC Current Accepting new patients
Harbin Clinic, LLC CurrentSince Sep 30, 2017 Accepting new patients
Harbin Clinic, LLC CurrentSince Sep 30, 2017 Accepting new patients
Community Hospital Inc CurrentSince Nov 10, 2013 Accepting new patients
Community Hospital Inc CurrentSince Nov 10, 2013 Accepting new patients

Locations

301 Wright St
Tuskegee, AL 36083
Phone (334) 241-5224

4450 Calibre Xing NW
Acworth, GA 30101
Phone (770) 607-1893

855 Curtis Pkwy SE
Calhoun, GA 30701
Phone (706) 624-5100

150 Gentilly Blvd
Cartersville, GA 30120
Phone (678) 719-7000

200 Gentilly Blvd
Cartersville, GA 30120
Phone (470) 490-6860

1825 Martha Berry Blvd NW
Rome, GA 30165
Phone (706) 238-8073

221 Technology Pkwy NW
Rome, GA 30165
Phone (762) 235-1000

2001 Professional Pkwy
Ste 100
Woodstock, GA 30188
Phone (678) 494-1171

Interoperability endpoints

  • Direct secure messaging: aabdul3005130@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: afu.abdul.1@1498.direct.athenahealth.com

Organizations & group practices 6

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": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1285834838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 TECHNOLOGY PKWY NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651369",
            "telephone_number": "706-295-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GENTILLY BLVD",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301208504",
            "telephone_number": "470-490-6510",
            "fax_number": "470-490-6517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDUL",
        "first_name": "AFU",
        "middle_name": "MOHAMMAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-23",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "070329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "afu.abdul.1@1498.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "150 Gentilly Blvd",
            "city": "Cartersville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301208522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cartersville, GA

Sources for this page

Verify at the official NPI Registry.