Mary Jane B Kassam, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

033610 Issued in GA

Practice address

2020 Honey Creek Pkwy SE
Conyers, GA 30013-2974

Phone

(770) 929-0813

Fax

(770) 922-8653

NPI assigned

Jul 12, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Rockdale Family Practice, PC

  • Family Medicine Physician
  • Conyers, GA
  • NPI 1952460149
  NPD
• Sollage Pain Solutions of Georgia

  • General Practice Physician
  • Conyers, GA
  • NPI 1649210006
  NPD (past)

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1306844675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 HONEY CREEK PKWY SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300132974",
            "telephone_number": "770-929-0813",
            "fax_number": "770-922-8653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 HONEY CREEK PKWY SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300132974",
            "telephone_number": "770-929-0813",
            "fax_number": "770-922-8653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSAM",
        "first_name": "MARY JANE",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "033610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00447323A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chandana Kamireddy, M.D
• Kander Surgical Assisting, LLC
• Karim Shakoor, M.D.,P.C.
• Robert Gordon Karker, D.M.D.
• Yilikal Tassew Kassa, MD
• Shiraz Habib Kassam, M.D.
• Saman Kazemi, RPH
• Kbsolutions and Behavioral Support Services
• Kbsolutions and Behavioral Support Services
• Rotonda Keaton Williams, P.A.

• General Practice Physician in Conyers, GA
• Providers in Conyers, GA by specialty
• General Practice Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.