Mohamed Modar Abidian, MD – Nephrology Physician

Key facts

NPI: 1720510787
Entity type: Individual (NPI type 1)
Primary specialty: Nephrology Physician 207RN0300X
License: 90948 (GA)
Practice address: 663 Lanier Park Dr
Gainesville, GA 30501-2059
Phone: (678) 450-0202
Fax: (678) 450-0080
NPI assigned: Mar 29, 2017
Sex: Male
Sole proprietor: No

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 and National Provider Directory roles.

Kidney Care Center of Georgia LLC Nephrology Physician · Gainesville, GA · NPI 1588981187

Medicare reassignment Care Compare group NPD GA · NEPHROLOGY

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Ehca Johns Creek, LLC General Acute Care Hospital · Johns Creek, GA · NPI 1679632137

Care Compare affiliation Hospital
Northeast Georgia Medical Center Habersham LLC General Acute Care Hospital · Demorest, GA · NPI 1740981430

Care Compare affiliation Hospital
Northeast Georgia Medical Center, Inc. General Acute Care Hospital · Gainesville, GA · NPI 1427055821

Care Compare affiliation Hospital
Northside Hospital, Inc. General Acute Care Hospital · Cumming, GA · NPI 1376574277

Care Compare affiliation Hospital
Stephens County Hospital Authority Rural Acute Care Hospital · Toccoa, GA · NPI 1033191267

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Nephrology
Education: Other, 2015
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Telehealth: Offers telehealth services
Group practices: Kidney Care Center of Georgia LLC (24 clinicians)

Practice addresses (Care Compare)

663 Lanier Park Dr
Gainesville, GA 30501-2059
Phone (678) 450-0202

Hospital & facility affiliations

Northeast Georgia Medical Center, Inc Hospital · Gainesville, GA · CCN 110029
Northside Hospital Forsyth Hospital · Cumming, GA · CCN 110005
Northeast Georgia Medical Center Habersham Hospital · Demorest, GA · CCN 110041
Emory Johns Creek Hospital Hospital · Johns Creek, GA · CCN 110230
Stephens County Hospital Hospital · Toccoa, GA · CCN 110032

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
I20240702003261	GA	Practitioner - Nephrology	6002230737	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

Practice roles

Organization	Specialty	Status	New patients
Kidney Care Center of Georgia LLC	Nephrology	Current since Jun 1, 2024	Accepting new patients

Locations (25 of 28)

6225 Atlanta Hwy
Ste 117
Alpharetta, GA 30004
Phone (770) 569-1275

5670 Old Winder Hwy
Ste 200
Braselton, GA 30517
Phone (404) 593-0090

1241 Friendship Rd
Braselton, GA 30517
Phone (770) 965-6056

1400 River Pl
Braselton, GA 30517
Phone (770) 219-6000

1550 Buford Hwy
Ste 1E
Buford, GA 30518
Phone (404) 645-7150

2349 Sparta Way
Buford, GA 30519
Phone (770) 964-1190

3015 The Commons Dr
Cumming, GA 30041
Phone (770) 205-3289

3530 Rowe Ln
Cumming, GA 30041
Phone (770) 886-2489

1200 Northside Forsyth Dr
Cumming, GA 30041
Phone (770) 292-4806

1165 Sanders Rd
Cumming, GA 30041
Phone (210) 379-8553

101 Greenfield Dr
Ste 240
Cumming, GA 30040
Phone (470) 253-9739

495 Highway 400
Dahlonega, GA 30533
Phone (469) 757-1107

81 Northside Dawson Dr
Ste 315
Dawsonville, GA 30534
Phone (770) 601-9440

638 441 Historic Hwy N
Ste C
Demorest, GA 30535
Phone (706) 754-3022

735 441 Historic Hwy N
Demorest, GA 30535

541 441 Historic Hwy N
Demorest, GA 30535
Phone (706) 839-4000

3170 Peachtree Industrial Blvd
Ste 100
Duluth, GA 30097
Phone (770) 232-5219

2565 Thompson Bridge Rd
Ste 104
Gainesville, GA 30501

663 Lanier Park Dr
Gainesville, GA 30501
Phone (678) 450-8841

1856 Thompson Bridge Rd
Ste 101
Gainesville, GA 30501
Phone (770) 534-6999

2545 Flintridge Rd
Ste 130
Gainesville, GA 30501
Phone (770) 536-7194

1475 Jesse Jewell Pkwy NE
Gainesville, GA 30501

743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915

1492 Jesse Jewell Pkwy SE
Gainesville, GA 30501
Phone (678) 989-0645

10680 Medlock Bridge Rd
Ste 103
Johns Creek, GA 30097
Phone (770) 622-2167

Interoperability endpoints

Direct secure messaging: mabidian68668@direct.acumenmd.com

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Nephrology Physician	207RN0300X	90948	GA	Yes

Addresses

Primary practice location

663 Lanier Park Dr
Gainesville, GA 30501-2059

Mailing address

663 Lanier Park Dr
Gainesville, GA 30501-2059
Phone (678) 450-0202

Other providers in Gainesville, GA

Eihab Nail Abdelfatah, M.D.
Eltigani M Abdelhai, MD
Ahmad Lutfe M Abdussalam, MD
Sonia Abel, LPC
Ed A. Abell, M. D.
Ability Pediatric Therapy
Ability Pediatric Therapy of Gainesville LLC
Omar Abu-Alrub, AGACNP
Taylor Abu-Alrub, PA-C
Grace Elena Acero-Smith, MSN FNP-BC

All providers in Gainesville, GA · Nephrology 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 Jun 7, 2024. 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.

Verify at the official NPI Registry.