Active NPI
Maria Alban, MD
- Family Medicine Physician
- Snellville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 056947
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 491394667B | Medicaid | GA |
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
Enrollment records 1
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056947 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medlink Georgia Inc | Current | Accepting new patients | |
| Medlink Georgia, Inc | Current | 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
- maria.alban.1@9864.direct.athenahealth.com
- 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.
-
- Podiatric Clinic/Center
- Commerce, GA
- NPI 1619627460
-
- Federally Qualified Health Center (FQHC)
- Colbert, GA
- NPI 1669951414
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gainesville, GA
- NPI 1427055821
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.