Individual provider Active NPI

Elia G Abboud, MD

  • Cardiovascular Disease Physician
  • Gainesville, GA
National Provider Identifier
1861443657
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
062799 Issued in GA
Practice address
200 S Enota Dr NE Ste 100
Gainesville, GA 30501-3466
Phone
(770) 534-2020
Fax
(770) 534-8025
NPI assigned
May 15, 2006
Last updated
Oct 6, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 062799 GA Primary

Addresses

Primary practice location

200 S Enota Dr NE Ste 100
Gainesville, GA 30501-3466

Mailing address

PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420

Other names 1

  • Eliyya G Abbud Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eabboud29460@nghs.gadirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090708000776 GA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9032004882 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Heart Institute LLCGroup PAC ID 4183848062, 127 clinicians

Practice addresses (Care Compare)

108 Prominence CT
Suite 210
Dawsonville, GA 30534-6340
Phone (770) 534-2020

1400 River PL
Braselton, GA 30517-5600
Phone (770) 848-8000

1404 River PL
Suite 501
Braselton, GA 30517-5600
Phone (770) 534-2020

200 S Enota Dr NE
Gainesville, GA 30501-3466
Phone (770) 534-2020

2578 Helen Hwy
Cleveland, GA 30528-2848
Phone (770) 534-2020

288 Big a Rd
Toccoa, GA 30577-6002
Phone (770) 534-2020

316 N Broad St
Winder, GA 30680-2150
Phone (770) 867-3400

4445 S Lee St
Suite 300
Buford, GA 30518-8808
Phone (770) 534-2020

495 Hwy 400
Dahlonega, GA 30533-6823
Phone (770) 534-2020

536 Hwy 441 S
Clayton, GA 30525-5422
Phone (770) 534-2020

58 Big a Rd
Toccoa, GA 30577-6017
Phone (770) 534-2020

590 441 Historic Hwy N
Demorest, GA 30535-4561
Phone (770) 534-2020

638 Old Historic US 441 B
Demorest, GA 30535-4561
Phone (770) 534-2020

743 Spring St NE
Gainesville, GA 30501-3715
Phone (770) 534-2020

900 Sanders Rd
Suite a
Cumming, GA 30041-5960
Phone (770) 886-5184

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.46 of 100Reported as group
Quality
85.33
Promoting interoperability
100
Improvement activities
40
Cost
76.19

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Georgia Medical Center, Inc. CurrentSince Mar 1, 2015 Accepting new patients
Georgia Heart Institute LLC Cardiovascular Disease CurrentSince Jun 1, 2014 Accepting new patients
Northeast Georgia Medical Center, Inc. Current Accepting new patients
Cardiology Associates of Mobile Inc Past Accepting new patients

Locations

77 Weaver Rd
#B
Blairsville, GA 30512
Phone (706) 439-6165

200 S Enota Dr NE
Ste 100
Gainesville, GA 30501
Phone (770) 532-7501

200 S Enota Dr NE
Ste 200
Gainesville, GA 30501
Phone (770) 534-0991

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

355 Clear Creek Pkwy
Ste 2004
Lavonia, GA 30553
Phone (706) 356-0554

Interoperability endpoints

  • Direct secure messaging: eabboud29460@nghs.gadirect.net

Organizations & group practices 4

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": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1861443657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742616",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742616",
            "telephone_number": "770-219-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S ENOTA DR NE STE 100",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013466",
            "telephone_number": "770-534-2020",
            "fax_number": "770-534-8025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBOUD",
        "first_name": "ELIA",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "062799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eabboud29460@nghs.gadirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "200 S Enota Dr NE Ste 100",
            "city": "Gainesville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305013466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ELIYYA",
            "last_name": "ABBUD",
            "middle_name": "G",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.