Organization Active NPI

Melvin N Abend MD PC

  • Surgery Physician
  • Atlanta, GA
National Provider Identifier
1396738712
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
015060 Issued in GA
Legal business name
MELVIN N ABEND MD PC
Practice address
4553 N Shallowford Rd
Ste 40B
Atlanta, GA 30338-6408
Phone
(770) 455-3753
Fax
(770) 458-9622
NPI assigned
Aug 31, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Melvin N Abend, MD
Title
President
Phone
(770) 455-3753

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 015060 GA Primary

Addresses

Primary practice location

4553 N Shallowford Rd
Ste 40B
Atlanta, GA 30338-6408

Mailing address

4553 N Shallowford Rd
Ste 40B
Atlanta, GA 30338-6408
Phone (770) 455-3753

Other identifiers 1

IdentifierTypeStateIssuer
000053853A1MedicaidGA

National Provider Directory

National Provider Directory

Locations

4553 N Shallowford Rd
#40B
Atlanta, GA 30338
Phone (770) 455-3753

4553 N Shallowford Rd
Ste 40B
Atlanta, GA 30338
Phone (770) 455-3753

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396738712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4553 N SHALLOWFORD RD",
            "address_2": "STE 40B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386408",
            "telephone_number": "770-455-3753",
            "fax_number": "770-458-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4553 N SHALLOWFORD RD",
            "address_2": "STE 40B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386408",
            "telephone_number": "770-455-3753",
            "fax_number": "770-458-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELVIN N ABEND MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ABEND",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-455-3753",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "015060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000053853A1",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.