Active NPI
Mary Temilola Abdul, RN-BC, MSN, FNP-BC
- Family Nurse Practitioner
- Lithia Springs, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN301836
- Practice address
- 939 Bob Arnold Blvd Ste a&F
Lithia Springs, GA 30122-3258 - Phone
- (770) 769-1724
- NPI assigned
- Jun 2, 2017
- Last updated
- Oct 30, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F341113-1 | NY | |
| Family Nurse Practitioner | 363LF0000X | APRN301836 | GA | Primary |
Addresses
Primary practice location
939 Bob Arnold Blvd Ste a&F
Lithia Springs, GA 30122-3258
Mailing address
2258 Triple Crown LN
Lithonia, GA 30058-2101
Phone (646) 880-7317
Other practice location 1
1280 Dogwood Dr SE
Conyers, GA 30013-5046
Phone (404) 994-4662
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1825 Hwy 32 E
Suite 1200
Newnan, GA 30265
590 Lanier Ave W
Fayetteville, GA 30214-1504
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN301836 | GA | MD | Family Nurse Practitioner |
| F341113-1 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstreet of Georgia PC | Current | Accepting new patients | |
| Wellstreet of Georgia PC | Current | Accepting new patients | |
| Essen Medical Associates, PC | Current | Accepting new patients | |
| True North Health Navigation LLC | Current | Accepting new patients | |
| Essen Medical Associates, PC | Current | Accepting new patients | |
| True North Health Navigation LLC | Current | Accepting new patients | |
| Essen Medical Urgicare, PLLC | Current | Accepting new patients | |
| House Call Medical Services of New York, PLLC | Current | Accepting new patients | |
| Wellstreet of Georgia PC | Past | Accepting new patients |
Locations
3827 N Lafayette St
Denver, CO 80205
Phone (303) 898-9230
2292 Peachtree Rd NW
Atlanta, GA 30309
Phone (404) 382-9941
1280 Dogwood Dr SE
Conyers, GA 30013
Phone (404) 994-4662
1 W Court Sq
Ste 750
Decatur, GA 30030
Phone (404) 494-7888
5885 Glenridge Dr
Ste 100
Sandy Springs, GA 30328
Phone (678) 321-8546
1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200
1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366
2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200
2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400
8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400
Interoperability endpoints
- mary.lola.abdul.1@27079.direct.athenahealth.com
Organizations & group practices 9
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.
-
dba DispatchHealth
- Emergency Medicine Physician
- Atlanta, GA
- NPI 1578047536
-
dba Piedmont Urgent Care
- Urgent Care Clinic/Center
- Newnan, GA
- NPI 1235411547
-
- Legal Medicine
- Bronx, NY
- NPI 1366418709
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1851345946
-
dba Piedmont Urgent Care by Wellstreet
- Non-Pharmacy Dispensing Site
- Conyers, GA
- NPI 1063061315
-
- Podiatrist
- Bronx, NY
- NPI 1720799158
-
dba Dispatch Health
- Emergency Medicine Physician
- Denver, CO
- NPI 1740622133
-
dba Piedmont Urgentcare of Wellstreet
- Non-Pharmacy Dispensing Site
- Atlanta, GA
- NPI 1295249084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761782400000",
"number": "1780112789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2258 TRIPLE CROWN LN",
"city": "LITHONIA",
"state": "GA",
"postal_code": "300582101",
"telephone_number": "646-880-7317",
"fax_number": "516-542-5556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "939 BOB ARNOLD BLVD STE A&F",
"city": "LITHIA SPRINGS",
"state": "GA",
"postal_code": "301223258",
"telephone_number": "770-769-1724"
}
],
"practiceLocations": [
{
"address_1": "1280 Dogwood Dr SE",
"address_purpose": "LOCATION",
"city": "Conyers",
"state": "GA",
"postal_code": "300135046",
"country_code": "US",
"telephone_number": "404-994-4662",
"fax_number": "404-994-4663",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABDUL",
"first_name": "MARY",
"middle_name": "TEMILOLA",
"name_prefix": "Miss",
"credential": "RN-BC, MSN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-02",
"last_updated": "2025-10-30",
"certification_date": "2025-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F341113-1",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "APRN301836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lithia Springs, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.