Individual provider Active NPI

Selwin John Abraham, M.D.

  • Interventional Cardiology Physician
  • Dalton, GA
National Provider Identifier
1649425430
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
97466 Issued in GA
Practice address
1436 Broadrick Dr Ste B
Dalton, GA 30720-3009
Phone
(706) 226-3434
Fax
(706) 226-4820
NPI assigned
Nov 21, 2008
Last updated
Oct 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 50166 TN
Interventional Cardiology Physician 207RI0011X 50166 TN
Interventional Cardiology Physician 207RI0011X 97466 GA Primary

Addresses

Primary practice location

1436 Broadrick Dr Ste B
Dalton, GA 30720-3009

Mailing address

1436 Broadrick Dr Ste B
Dalton, GA 30720-3009
Phone (706) 226-3434

Other practice location 1

2414 Chambliss Ave NW
Cleveland, TN 37311-3879
Phone (423) 250-5864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130717000502 TN Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Family Practice 1153561006 Reassigns benefits to 2 organizations
I20231012002301 GA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 1153561006 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Loma Linda University School of Medicine, 2006
Medicare assignment
May accept Medicare assignment
Group practices
Hamilton Physician Group, IncGroup PAC ID 4789708553, 120 clinicians
Bradley Physician Services, LLCGroup PAC ID 8123563392, 77 clinicians

Practice addresses (Care Compare)

1436 Broadrick Dr
Suite B
Dalton, GA 30720-3009
Phone (706) 226-3434

2253 Chambliss Ave NW
Suite 301
Cleveland, TN 37311-3861
Phone (423) 476-5002

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Physician Group Inc Cardiovascular Disease CurrentSince Oct 1, 2023 Accepting new patients
Hamilton Medical Center, Inc. CurrentSince Oct 1, 2023 Accepting new patients
Bradley Physician Services, LLC Internal Medicine CurrentSince Aug 1, 2024 Accepting new patients
Cleveland Medical Clinic Inc Internal Medicine PastSince Jan 1, 2021 Accepting new patients
Cleveland Medical Clinic Inc Past Accepting new patients

Locations

215 Curtis Pkwy NE
Calhoun, GA 30701
Phone (706) 529-3025

1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115

1436 Broadrick Dr
Ste B
Dalton, GA 30720
Phone (706) 226-3434

2525 Desales Ave
Chattanooga, TN 37404
Phone (423) 495-2620

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

2253 Chambliss Ave NW
Ste 301
Cleveland, TN 37311
Phone (423) 476-4466

2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000

2305 Chambliss Ave NW
Fl 2
Cleveland, TN 37311
Phone (423) 476-4466

2414 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 250-5864

2700 Westside Dr NW
Ste 204
Cleveland, TN 37312
Phone (423) 476-3711

2800 Westside Dr NW
Cleveland, TN 37312
Phone (423) 339-4100

Interoperability endpoints

  • Direct secure messaging: sabraham30315@hhcs.direct-ci.com
  • Direct secure messaging: sabraham64769@direct.erlanger.org
  • Direct secure messaging: selwin.abraham.1@31613.direct.athenahealth.com

Organizations & group practices 5

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

Hospital & facility affiliations 6

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": "1227225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1649425430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1436 BROADRICK DR STE B",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203009",
            "telephone_number": "706-226-3434",
            "fax_number": "706-226-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1436 BROADRICK DR STE B",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203009",
            "telephone_number": "706-226-3434",
            "fax_number": "706-226-4820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2414 Chambliss Ave NW",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "TN",
            "postal_code": "373113879",
            "country_code": "US",
            "telephone_number": "423-250-5864",
            "fax_number": "423-250-5412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "SELWIN",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-21",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "50166",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TN",
            "license": "50166",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "GA",
            "license": "97466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

Verify at the official NPI Registry.