Mariam Adam Hassan

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

272797 Issued in GA

Practice address

858 Susannah CT
Lithonia, GA 30058-6186

Phone

(614) 599-5692

NPI assigned

Jan 28, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Ornaldo Swift Healthcare LLC

  • Internal Medicine Physician
  • Decatur, GA
  • NPI 1588290829
  NPD

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

{
    "created_epoch": "1643328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1912650151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5386 SNAPFINGER WOODS DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300354027",
            "telephone_number": "470-880-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "858 SUSANNAH CT",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300586186",
            "telephone_number": "614-599-5692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSAN",
        "first_name": "MARIAM",
        "middle_name": "ADAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-28",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "272797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayanna Tenay Harris, LPN
• Nicole J Harris, LCSW
• Tia Harris
• Veronica Celeste Harris, LAPC, NCC
• Ariel Harrison, PH.D., LPC, LSC
• Takiyah Head, LPC,CRCS
• Headquarterz HQZ PC (Health Shift Chiropractic)
• Healing Hands Home Health Agency,LLC
• Heart Helping Hands, LLC
• Tisa Heath

• Primary Care Nurse Practitioner in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Primary Care Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.