Active NPI
Mahtab Melissa Parham, MS, DO
- Student in an Organized Health Care Education/Training Program
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 677 Church St NE
Marietta, GA 30060-1101 - Phone
- (770) 793-6190
- NPI assigned
- Apr 22, 2020
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
677 Church St NE
Marietta, GA 30060-1101
Mailing address
677 Church St NE
Marietta, GA 30060-1101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- 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
- Emergency Medicine
- Education
- Philadelphia College of Osteopathic Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1220 Iyannough Rd
Hyannis, MA 02601-1873
Phone (508) 862-7900
2 Jan Sebastian Dr
Suite 101
Sandwich, MA 02563-2377
Phone (508) 833-2639
25 Highland Ave
Newburyport, MA 01950-3867
Phone (978) 463-1000
27 Park St
Hyannis, MA 02601-5230
Phone (508) 771-1800
273 Teaticket Hwy
Teaticket, MA 02536-5638
Phone (508) 495-8000
42 RT
6A
Orleans, MA 02653-2412
Phone (508) 957-9270
5 Village GRN S
Plymouth, MA 02360-7759
Phone (508) 957-9275
525 Long Pond Dr
Harwich, MA 02645-1227
Phone (508) 430-3330
770 Main St
Osterville, MA 02655-1913
Phone (508) 957-9290
Hospital & facility affiliations
- Cape Cod Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.11 of 100
- Quality
- 67.48
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.1 of 100
- Quality
- 79.25
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newburyport Emergency Physicians, PLLC | Current | Accepting new patients | |
| Cape Cod Emergency Associates LLP | Current | Accepting new patients | |
| Urgi Center Medical Group | Current | Accepting new patients | |
| Stay Fit Wellness Center LLC | Past | Accepting new patients |
Locations
525 Long Pond Dr
Harwich, MA 02645
Phone (508) 430-3311
27 Park St
Hyannis, MA 02601
Phone (508) 775-5011
25 Highland Ave
Newburyport, MA 01950
Phone (978) 258-4734
2 Jan Sebastian Dr
Ste 101
Sandwich, MA 02563
Phone (508) 833-2639
273 Teaticket Hwy
Teaticket, MA 02536
Phone (508) 495-8000
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Hyannis, MA
- NPI 1396462958
-
- Emergency Medicine Physician
- Newburyport, MA
- NPI 1215724364
-
- Urgent Care Clinic/Center
- Sandwich, MA
- NPI 1902146798
-
- Chiropractor
- Roswell, GA
- NPI 1134372212
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hyannis, MA
- NPI 1114984671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587600000000",
"number": "1487274239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "677 CHURCH ST NE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "677 CHURCH ST NE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601101",
"telephone_number": "770-793-6190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARHAM",
"first_name": "MAHTAB",
"middle_name": "MELISSA",
"name_prefix": "Dr.",
"credential": "MS, DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-22",
"last_updated": "2020-04-23",
"certification_date": "2020-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; 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.