Mazen A Abdalla, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

038414 Issued in GA

Practice address

2386 Clower St Ste C105
Snellville, GA 30078-6107

Phone

(678) 344-0334

Fax

(678) 344-0343

NPI assigned

Mar 10, 2006

Sex

Male

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 2

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

Specialty

Nephrology

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Kidney ClinicGroup PAC ID 0749353225, 4 clinicians

Emory Medical Care Foundation IncGroup PAC ID 4981501814, 1,003 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• DaVita Newton County Dialysis Dialysis facility, Covington, GA, CCN 112883
• DaVita Conyers Dialysis Dialysis facility, Conyers, GA, CCN 112828
• DaVita Lilburn Dialysis Dialysis facility, Lilburn, GA, CCN 852545
• DaVita Lake Hearn Dialysis Dialysis facility, Atlanta, GA, CCN 112745
• Piedmont Rockdale Hospital Hospital, Conyers, GA, CCN 110091
• Piedmont Newton Hospital Hospital, Covington, GA, CCN 110018
• Piedmont Eastside Medical Center Hospital, Snellville, GA, CCN 110192
• Northside Hospital Gwinnett Hospital, Lawrenceville, GA, CCN 110087

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mazen.abdalla@direct.davitaphysiciansolutions.com

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.

• The Kidney Clinic

  • Medical Specialty Clinic/Center
  • Snellville, GA
  • NPI 1811159718

  Nephrology

  Medicare reassignment Care Compare group NPD Authorized official
• Emory Medical Care Foundation Inc

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1063452381
  Medicare reassignment Care Compare group NPD
• Emory Medical Care Foundation Inc

  • Diagnostic Radiology Physician
  • Atlanta, GA
  • NPI 1225294739
  NPD
• Emory Medical Care Foundation Inc

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1659537165

  Nephrology

  NPD
• NCG Home Dialysis of Barrow County LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bethlehem, GA
  • NPI 1982009676
  NPD (past)
• Greenville Kidney Care LLC

  • Nephrology Physician
  • Greenville, SC
  • NPI 1659654002
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Shone Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Covington, GA
  • NPI 1508281817

  Dialysis facility

  Care Compare affiliation Name & address match
• Vilander Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Lilburn, GA
  • NPI 1659898492

  Dialysis facility

  Care Compare affiliation Name & address match
• Wilder Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Conyers, GA
  • NPI 1720314776

  Dialysis facility

  Care Compare affiliation Name & address match
• Eastside Medical Center, LLC

  • General Acute Care Hospital
  • Snellville, GA
  • NPI 1467406132
  Care Compare affiliation
• Northside Hospital, Inc.

  • General Acute Care Hospital
  • Lawrenceville, GA
  • NPI 1952340994
  Care Compare affiliation
• Piedmont Newton Hospital, Inc.

  • General Acute Care Hospital
  • Covington, GA
  • NPI 1760498588
  Care Compare affiliation
• Piedmont Rockdale Hospital Inc.

  • General Acute Care Hospital
  • Conyers, GA
  • NPI 1306355680
  Care Compare affiliation

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1467420893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2386 CLOWER ST STE C105",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786107",
            "telephone_number": "678-344-0334",
            "fax_number": "678-344-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2386 CLOWER ST STE C105",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786107",
            "telephone_number": "678-344-0334",
            "fax_number": "678-344-0343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3370 Sugarloaf Pkwy Ste A1",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300445491",
            "country_code": "US",
            "telephone_number": "678-344-0334",
            "fax_number": "678-344-0343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 Milstead Rd NE Ste 150",
            "address_purpose": "LOCATION",
            "city": "Conyers",
            "state": "GA",
            "postal_code": "300123857",
            "country_code": "US",
            "telephone_number": "678-344-0334",
            "fax_number": "678-344-0343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4805 Lawrenceville Hwy NW Ste 320",
            "address_purpose": "LOCATION",
            "city": "Lilburn",
            "state": "GA",
            "postal_code": "300473800",
            "country_code": "US",
            "telephone_number": "678-344-0334",
            "fax_number": "678-344-0343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10132 Carlin Drive",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "GA",
            "postal_code": "30014",
            "country_code": "US",
            "telephone_number": "678-344-0334",
            "fax_number": "678-344-0343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABDALLA",
        "first_name": "MAZEN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "038414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000612752M",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "38414",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Taharah Abdush-Shakur, MSW
• Abena Health Solutions LLC
• Abisola Abina, RBT

• Nephrology Physician in Snellville, GA
• Providers in Snellville, GA by specialty
• Nephrology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.
• 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.

Verify at the official NPI Registry.