NPIMap

Individual provider Active NPI

Abebe D Kassahun, MD

  • General Practice Physician
  • Augusta, GA
National Provider Identifier
1689860355
Registry record updated Oct 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
063248 Issued in GA
Practice address
2100 Central Ave
Suite 6 & 7
Augusta, GA 30904-6717
Phone
(706) 736-5378
Fax
(706) 738-9922
NPI assigned
Sep 17, 2007
Last updated
Oct 21, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 36117613 IL
General Practice Physician 208D00000X 063248 GA Primary

Addresses

Primary practice location

2100 Central Ave
Suite 6 & 7
Augusta, GA 30904-6717

Mailing address

2100 Central Ave
Suite 6 & 7
Augusta, GA 30904-6717
Phone (706) 736-5378

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100114000400 GA Practitioner - Family PracticePractitioner - Emergency Medicine 1153419239 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reid Emergency Group, PCGroup PAC ID 5991051872, 11 clinicians
Southland Consolidated Emergency Services LLCGroup PAC ID 2860792066, 68 clinicians

Practice addresses (Care Compare)

101 Lake Oconee Pkwy
Eatonton, GA 31024-8512
Phone (706) 485-2711

610 Sparta Rd
Sandersville, GA 31082-1860
Phone (478) 240-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
063248GAMDGeneral Practice Physician
36117613ILMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peach State Emergency Physicians LLC CurrentSince Jan 1, 2026 Accepting new patients
Nes Georgia, Inc. Current Accepting new patients
Southland Consolidated Emergency Services, LLC CurrentSince Aug 30, 2023 Accepting new patients
United Emergency Services, Inc. CurrentSince Dec 1, 2011 Accepting new patients
Hartwell Emergency Physicians LLC CurrentSince Dec 1, 2011 Accepting new patients
Nes Georgia, Inc. CurrentSince Aug 1, 2012 Accepting new patients
Reid Emergency Group, PC CurrentSince Jul 15, 2023 Accepting new patients
Montgomery Emergency Group, LLC CurrentSince Feb 28, 2016 Accepting new patients
Nes Georgia Inc CurrentSince Aug 1, 2012 Accepting new patients
Hartwell Emergency Physicians LLC CurrentSince Dec 1, 2011 Accepting new patients
SC Healthcare Investments, LLC Past Accepting new patients

Locations

1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011

2260 Wrightsboro Rd
Augusta, GA 30904
Phone (706) 481-7000

2855 Old Highway 5
Blue Ridge, GA 30513
Phone (706) 632-4263

101 Lake Oconee Pkwy
Eatonton, GA 31024
Phone (706) 485-0907

4 Medical Dr
Elberton, GA 30635
Phone (706) 213-2527

138 W Gibson St
Hartwell, GA 30643
Phone (702) 223-3333

163 S Tallahassee St
Hazlehurst, GA 31539
Phone (912) 375-7781

610 Sparta Rd
Sandersville, GA 31082
Phone (478) 240-2000

2460 Washington Rd
Thomson, GA 30824
Phone (706) 595-1411

1 Meadows Pkwy
Vidalia, GA 30474
Phone (912) 535-5429

5995 Spring St
Warm Springs, GA 31830
Phone (706) 632-4374

351 S Liberty St
Waynesboro, GA 30830
Phone (706) 554-4435

Organizations & group practices 12

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 4

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": "1189987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256083200000",
    "number": "1689860355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 CENTRAL AVE",
            "address_2": "SUITE 6 & 7",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309046717",
            "telephone_number": "706-736-5378",
            "fax_number": "706-738-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 CENTRAL AVE",
            "address_2": "SUITE 6 & 7",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309046717",
            "telephone_number": "706-736-5378",
            "fax_number": "706-738-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSAHUN",
        "first_name": "ABEBE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-17",
        "last_updated": "2009-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": "36117613",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "063248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.