Active NPI
Sosena Kebede, MD
- Internal Medicine Physician
- Norcross, GA
National Provider Identifier
1790780195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2003-00820
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2003-00820 | NC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| U S Health Dept of Health & Human Services | Current | Accepting new patients | |
| Theoria Medical | Internal Medicine | Current | Accepting new patients |
| US Health Dept of Health & Human Services | Current | 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.
-
- Critical Access Hospital
- Lodge Grass, MT
- NPI 1750410395
-
- Critical Access Hospital
- Crow Agency, MT
- NPI 1548393358
-
- Internal Medicine Physician
- Wilmington, NC
- NPI 1942288600
Internal Medicine
-
- Clinic/Center
- Heart Butte, MT
- NPI 1598867848
-
- General Acute Care Hospital
- Browning, MT
- NPI 1861409955
-
- Clinic/Center
- Lame Deer, MT
- NPI 1053487991
-
- Federal Public Health Clinic/Center
- Fort Washakie, WY
- NPI 1023174299
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.