Individual provider Active NPI

Sosena Kebede, MD

  • Internal Medicine Physician
  • Norcross, GA
National Provider Identifier
1790780195
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2003-00820 Issued in NC
Practice address
6455 Best Friend Rd
Norcross, GA 30071-2914
Phone
(770) 754-5150
Fax
(678) 762-4098
NPI assigned
Jun 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2003-00820 NC Primary

Addresses

Primary practice location

6455 Best Friend Rd
Norcross, GA 30071-2914

Mailing address

6455 Best Friend Rd
Norcross, GA 30071-2914
Phone (770) 754-5150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, 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
I20230907000969 TX Practitioner - Internal Medicine 5991843914 Reassigns benefits to 1 organization
I20250110000592 GA Practitioner - Internal Medicine 5991843914 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2003-00820NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
U S Health Dept of Health & Human Services CurrentSince May 23, 2025 Accepting new patients
Theoria Medical Internal Medicine CurrentSince Dec 1, 2024 Accepting new patients
US Health Dept of Health & Human Services CurrentSince May 23, 2025 Accepting new patients
US Dept of HHS Past Accepting new patients
U S Health Dept of Health & Human Services Past Accepting new patients
U S Health Dept of Health & Human Services Past Accepting new patients
Health Sciences Foundation Inc. Internal Medicine Past Accepting new patients
US Health Dept of Health & Human Services Past Accepting new patients

Locations

2200 Old Hamilton Pl
Gainesville, GA 30507
Phone (770) 532-2006

7300 Lester Rd
Union City, GA 30291
Phone (770) 703-2604

669 Agency Main St
Harlem, MT 59526
Phone (406) 353-3100

453 Pine Grove Rd
Hays, MT 59527
Phone (406) 353-3190

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1790780195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6455 BEST FRIEND RD",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300712914",
            "telephone_number": "770-754-5150",
            "fax_number": "678-762-4098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6455 BEST FRIEND RD",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300712914",
            "telephone_number": "770-754-5150",
            "fax_number": "678-762-4098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEBEDE",
        "first_name": "SOSENA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-14",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2003-00820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

Verify at the official NPI Registry.