Active NPI
Amma Abunyewa, M.D.
- Internal Medicine Physician
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35.094507
- Practice address
- 4180 Providence Rd Ste 105
Marietta, GA 30062-6187 - Phone
- (770) 973-4749
- NPI assigned
- Dec 5, 2009
- 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 | 35.094507 | OH | Primary |
Addresses
Primary practice location
4180 Providence Rd Ste 105
Marietta, GA 30062-6187
Mailing address
4180 Providence Rd Ste 105
Marietta, GA 30062-6187
Phone (770) 973-4749
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4180 Providence Rd
Suite 105
Marietta, GA 30062-6186
4180 Providence Rd
Suite 105
Marietta, GA 30062-6187
Phone (770) 973-4749
Hospital & facility affiliations
- Sandy Springs Center for Nursing and Healing LLC
- Roselane Health Center by Harborview
- Perimeter Rehabilitation Suites by Harborview
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.094507 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Rd Primary Care LLC | Internal Medicine | Current | Accepting new patients |
| Urgent Care Clinics LLC | Internal Medicine | Current | Accepting new patients |
| Dunwoody Health Center by Harborview, LLC | Past | Accepting new patients | |
| Roselane Health Center by Harborview, LLC | Past | Accepting new patients | |
| Sandy Springs Center for Nursing and Healing LLC | Past | Accepting new patients |
Locations
4180 Providence Rd
Ste 105
Marietta, GA 30062
Phone (770) 973-4749
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BAHDBD/Endpoint/BAHDBD
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Marietta, GA
- NPI 1831537539
-
- Internal Medicine Physician
- Alpharetta, GA
- NPI 1043443773
-
- Skilled Nursing Facility
- Atlanta, GA
- NPI 1912641713
-
- Skilled Nursing Facility
- Marietta, GA
- NPI 1467196261
-
- Skilled Nursing Facility
- Atlanta, GA
- NPI 1104568666
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Skilled Nursing Facility
- Atlanta, GA
- NPI 1912641713
Nursing home
-
- Skilled Nursing Facility
- Marietta, GA
- NPI 1467196261
Nursing home
-
- Skilled Nursing Facility
- Atlanta, GA
- NPI 1104568666
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561939200000",
"number": "1982932745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4180 PROVIDENCE RD STE 105",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300626187",
"telephone_number": "770-973-4749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4180 PROVIDENCE RD STE 105",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300626187",
"telephone_number": "770-973-4749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABUNYEWA",
"first_name": "AMMA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-05",
"last_updated": "2019-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35.094507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.