Individual provider Active NPI

Marriam Elfakahany

  • Student in an Organized Health Care Education/Training Program
  • Atlanta, GA
National Provider Identifier
1659947794
Registry record updated May 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
720 Westview Dr SW
Atlanta, GA 30310-1458
Phone
(404) 752-1500
NPI assigned
May 30, 2021
Last updated
May 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

720 Westview Dr SW
Atlanta, GA 30310-1458

Mailing address

2316 Renaissance Way NE
Atlanta, GA 30308-2462
Phone (678) 761-1609

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20220804003044 NC Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 3072995299

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Pediatric Associates, PA PastSince Sep 1, 2003 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: marriamelfakahany@rpapa.allscriptsdirect.net
  • Direct secure messaging: melfakahany410105@directhisp.wakemed.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1622332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622332800000",
    "number": "1659947794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2316 RENAISSANCE WAY NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082462",
            "telephone_number": "678-761-1609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 WESTVIEW DR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303101458",
            "telephone_number": "404-752-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELFAKAHANY",
        "first_name": "MARRIAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-30",
        "last_updated": "2021-05-30",
        "certification_date": "2021-05-25",
        "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 Atlanta, GA

Sources for this page

Verify at the official NPI Registry.