Individual provider Active NPI

Abby Michelle Starstrom, ARNP

  • Adult Health Nurse Practitioner
  • Marietta, GA
National Provider Identifier
1316910110
Registry record updated Jan 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN234946 Issued in GA
Practice address
2655 Dallas Hwy SW Ste 340
Marietta, GA 30064-7518
Phone
(678) 797-9800
NPI assigned
Feb 10, 2006
Last updated
Jan 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN234946 GA Primary

Addresses

Primary practice location

2655 Dallas Hwy SW Ste 340
Marietta, GA 30064-7518

Mailing address

1354 Peppergrass TRL NW
Acworth, GA 30101-7875
Phone (904) 237-8456

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240228002898 GA Practitioner - Nurse Practitioner 1355360231 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cobb Internal Medicine Associates CurrentSince Jan 10, 2024 Accepting new patients

Locations

2655 Dallas Hwy SW
Ste 340
Marietta, GA 30064
Phone (678) 797-9800

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JBCGAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/JBCGAA/Endpoint/JBCGAA

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

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704585600000",
    "number": "1316910110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1354 PEPPERGRASS TRL NW",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301017875",
            "telephone_number": "904-237-8456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 DALLAS HWY SW STE 340",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300647518",
            "telephone_number": "678-797-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARSTROM",
        "first_name": "ABBY",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-10",
        "last_updated": "2024-01-07",
        "certification_date": "2024-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN234946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.