Active NPIIndividual provider

Beniam T Abebe, PA-C

Physician Assistant, Surgical in Atlanta, Georgia

NPI Number1336623222
Practice location
5730 Glenridge Dr Ste 200, Atlanta, GA 30328-5579
Fax
—
Last updated
May 8, 2022

Beniam Tefera Abebe is a Physician Assistant, Surgical based in Atlanta, GA. Beniam Tefera Abebe practices in Atlanta, GA and has the professional credentials of PA-C. The NPI Number for Beniam Tefera Abebe is 1336623222 and holds a License No. 8985 (GA). The current practice location address for Beniam Tefera Abebe is 5730 Glenridge Dr Ste 200, Atlanta, GA 30328-5579 and can be reached out via phone at 404-252-5206.

Provider Profile Details

NPI Number
1336623222
Provider Name
Beniam Tefera Abebe
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
5730 Glenridge Dr Ste 200, Atlanta, GA 30328-5579
Phone Number
404-252-5206
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Provider Enumeration Date
September 18, 2018
Last Update Date
May 8, 2022
Certification Date
May 8, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
5730 Glenridge Dr Ste 200
Atlanta, GA 30328-5579
State
Georgia
Zip
30328-5579
Phone Number
404-252-5206
Atlanta, GA 30328Get directions →

Provider Business Mailing Address Details

Address
1561 Janmar RD
Snellville, GA 30078-5639
City
Snellville
State
GA
Zip
30078-5639
Phone Number
678-344-8900
Fax Number
678-666-5201

License Information

License State (1)
GA
Taxonomy (1)
Physician Assistant, Surgical · 363AS0400X
License Number (2)
8985
License State (2)
GA
Taxonomy (2)
Physician Assistant, Surgical · 363AS0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Beniam T Abebe, PA-C?

The NPI number of Beniam T Abebe, PA-C is 1336623222. It was assigned on September 18, 2018 and is currently active in the NPPES registry.

What is the specialty of Beniam T Abebe, PA-C?

Beniam T Abebe, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in GA under license number 8985.

Where does Beniam T Abebe, PA-C practice?

The practice location is 5730 Glenridge Dr Ste 200, Atlanta, GA 30328-5579. The office can be reached at 404-252-5206 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1336623222 directly on the NPPES registry website.

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