Individual provider Active NPI

Maria Alban, MD

  • Family Medicine Physician
  • Snellville, GA
National Provider Identifier
1396857587
Registry record updated Feb 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
056947 Issued in GA
Practice address
1608 Tree LN
Building C
Snellville, GA 30078-2399
Phone
(678) 344-4472
Fax
(678) 344-3273
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 056947 GA Primary

Addresses

Primary practice location

1608 Tree LN
Building C
Snellville, GA 30078-2399

Mailing address

1608 Tree LN
Building C
Snellville, GA 30078-2399
Phone (678) 344-4472

Other identifiers 1

IdentifierTypeStateIssuer
491394667BMedicaidGA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060126000023 GA Practitioner - Family Practice 8426095191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical Branch at Galveston, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medlink Georgia IncGroup PAC ID 3274442850, 93 clinicians

Practice addresses (Care Compare)

11 Charlie Morris Rd
Colbert, GA 30628-2445
Phone (706) 788-2127

520 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3779
Phone (770) 287-0290

Hospital & facility affiliations

  • Northeast Georgia Medical Center, Inc Hospital, Gainesville, GA, CCN 110029

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
056947GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medlink Georgia Inc CurrentSince May 15, 2017 Accepting new patients
Medlink Georgia, Inc CurrentSince May 15, 2017 Accepting new patients
Medlink Georgia Inc Past Accepting new patients

Locations

11 Charlie Morris Rd
Bldg 2
Colbert, GA 30628
Phone (706) 738-3234

11 Charlie Morris Rd
Colbert, GA 30628
Phone (706) 738-3234

520 Jesse Jewell Pkwy SE
Gainesville, GA 30501
Phone (770) 287-0290

2035 Calvary Church Rd
Gainesville, GA 30507
Phone (706) 237-8722

980 Lawrenceville Hwy
Lawrenceville, GA 30046
Phone (770) 676-6500

Interoperability endpoints

  • Direct secure messaging: maria.alban.1@9864.direct.athenahealth.com
  • Direct secure messaging: maria.alban@mgi.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424390400000",
    "number": "1396857587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 TREE LN",
            "address_2": "BUILDING C",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782399",
            "telephone_number": "678-344-4472",
            "fax_number": "678-344-3273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 TREE LN",
            "address_2": "BUILDING C",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782399",
            "telephone_number": "678-344-4472",
            "fax_number": "678-344-3273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBAN",
        "first_name": "MARIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2015-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "056947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "491394667B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

Verify at the official NPI Registry.