Hussein Ahmed-Abdu, MD
Individual provider Active NPI Hospitalist Physician · Marietta, GA
NPI 1629050844 · NPPES record last updated Oct 29, 2019
Key facts
- NPI
- 1629050844
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- 056626 (GA)
- Practice address
- 677 Church St NE # 111
Marietta, GA 30060-1101 - Phone
- (770) 793-7750
- Fax
- (770) 793-7755
- NPI assigned
- Nov 15, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Hospitalist
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wellstar Medical Group LLC
Practice addresses (Care Compare)
5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222
625 Church Nest
Marietta, GA 30060-1101
Phone (770) 422-2004
677 Church Nest
Marietta, GA 30060-1101
677 Church St NE
Suite 100P
Marietta, GA 30060-1101
Phone (470) 793-8585
Hospital & facility affiliations
- Wellstar Kennestone Regional Medical Center
- Wellstar Cobb Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051012000639 | GA | Practitioner - Hospitalist |
9234030115 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current |
Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current |
Accepting new patients | |
| Wellstar Physicians Group Hospitalists, LLC | Internal Medicine | Past | Accepting new patients |
| Kennestone Hospital, Inc. | Past | Accepting new patients | |
| Greenville Health System | Past | Accepting new patients | |
| Greenville Proaxis Therapy, LLC | Past | Accepting new patients |
Locations
8954 Hospital Dr
Douglasville, GA 30134
Phone (678) 838-2584
5150 Stilesboro Rd NW
Ste 120
Kennesaw, GA 30152
Phone (678) 354-0230
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
677 Church St NE
#111
Marietta, GA 30060
Phone (770) 793-7750
805 Sandy Plains Rd
Marietta, GA 30066
Phone (770) 792-1616
677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435
Interoperability endpoints
- hahmedabdu17195@directwellstar.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 056626 | GA | |
| Hospitalist Physician | 208M00000X | 056626 | GA | Yes |
Addresses
Primary practice location
677 Church St NE # 111
Marietta, GA 30060-1101
Mailing address
805 Sandy Plains Road
Medical Staff Services
Marietta, GA 30066-6340
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hahmedabdu17195@directwellstar.org |
NPI Registry JSON
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572307200000",
"number": "1629050844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 SANDY PLAINS ROAD",
"address_2": "MEDICAL STAFF SERVICES",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300666340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "677 CHURCH ST NE # 111",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601101",
"telephone_number": "770-793-7750",
"fax_number": "770-793-7755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMED-ABDU",
"first_name": "HUSSEIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-15",
"last_updated": "2019-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "056626",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "GA",
"license": "056626",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hahmedabdu17195@directwellstar.org",
"affiliation": "N",
"address_1": "677 Church St NE # 111",
"city": "Marietta",
"state": "GA",
"country_code": "US",
"postal_code": "300601101",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Marietta, GA
- Megan Rose Aguilar
- Martha Aguilera
- Lauren Aguon
- Peace Nneka Aguzie
- Sahra Ahmadi
- Rebecca Brynne Ahrens
- Ayushi Ahuja
- Ndubuisi D Ahuruonye
- Aid & Assistance Home Care Prof.
- Autumn Aiello
All providers in Marietta, GA · Hospitalist Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.