Abiel Andemariam Berhane
Individual provider Active NPI Anesthesiologist Assistant · Stockbridge, GA
NPI 1962029785 · NPPES record last updated Mar 23, 2022
Key facts
- NPI
- 1962029785
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiologist Assistant 367H00000X
- License
- 10046 (GA)
- Practice address
- 1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085 - Phone
- (678) 604-1053
- NPI assigned
- Jun 27, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Anesthesiology Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Atlanta Anesthesia Professionals, LLC
Piedmont Anesthesia LLC
Rockdale Anesthesia Services, P.C.
Practice addresses (Care Compare)
1000 Medical Ctr Blvd
Lawrenceville, GA 30046-7694
Phone (678) 312-1000
1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone (770) 918-3000
1612 Milstead Rd NE
Suite B
Conyers, GA 30012-3738
Phone (770) 388-7745
Hospital & facility affiliations
- Piedmont Rockdale Hospital
- Northside Hospital Gwinnett
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.48 of 100
- Quality
- 87.56
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.14
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210104000816 | GA | Practitioner - Anesthesiology Assistant | 4789097197 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Associate of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grady Memorial Hospital Corporation | Current |
Accepting new patients | |
| North Fulton Anesthesia Associates PC | Anesthesiologist Assistant | Current |
Accepting new patients |
| Piedmont Anesthesia Associates, L.L.C | Current |
Accepting new patients | |
| Grady Memorial Hospital Corporation | Current |
Accepting new patients | |
| North Atlanta Anesthesia Professionals, LLC | Current |
Accepting new patients | |
| Rockdale Anesthesia Services, P.C. | Current |
Accepting new patients |
Locations
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370
1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222
1984 Peachtree Rd NW
Ste 515
Atlanta, GA 30309
Phone (404) 351-1754
1612 Milstead Rd NE
#B
Conyers, GA 30012
Phone (770) 388-7745
1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000
2151 Peachford Rd
Dunwoody, GA 30338
Phone (770) 313-2034
1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | 10046 | GA | Yes |
Addresses
Primary practice location
1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085
Mailing address
3690 Waterford PL
Clarkston, GA 30021-1443
Phone (404) 551-6120
Other practice location 1
1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone (404) 351-1745
Other providers in Stockbridge, GA
- Benchmark Physical Therapy, Inc
- Alleena Gabrielle Bennett
- Benrose Homecare Services LLC
- Yudelky Tereza Bentley
- Lisa Renee Benton
- Randall Charles Berinhout
- Neil Colvard Berry
- Korin Best
- Alejandro Betancourt O'Farrill
- Victoria Elise Bethel
All providers in Stockbridge, GA · Anesthesiologist Assistant in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.