MARY JANE B KASSAM (NPI# 1306844675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306844675 |
| Entity Type | Individual |
| Full Name | MARY JANE B KASSAM |
| Credential | MD |
| Practice Address |
2020 Honey Creek Pkwy Se Conyers GA 30013-2974 |
| Practice Telephone | 7709290813 |
| Practice Fax Number | 7709228653 |
| Mailing Telephone | 7709290813 |
| Mailing Fax Number | 7709228653 |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 033610 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00447323A | 05 |
| Street Address |
2020 HONEY CREEK PKWY SE |
| City | CONYERS |
| State | GA |
| Zip Code | 30013-2974 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841297520 | Nadeem N Hoodbhoy | Family Medicine | 2020 Honey Creek Pkwy Se, Conyers, GA 30013-2974 | 2005-07-07 |
| 1750894408 | Chelsey Brack | Physician Assistant | 2020 Honey Creek Pkwy Se, Conyers, GA 30013-2974 | 2017-11-15 |
| 1407392558 | Brilee Rogers | Physician Assistant | 2020 Honey Creek Pkwy Se, Conyers, GA 30013-2974 | 2017-01-13 |
| 1336538974 | Michael Martin Johnson | Physician Assistant | 2020 Honey Creek Pkwy Se, Conyers, GA 30013-2974 | 2015-01-20 |
| 1043414048 | Indira R Asser | Family Medicine | 2020 Honey Creek Pkwy Se, Conyers, GA 30013 | 2007-06-13 |
| 1952460149 | Rockdale Family Practice, PC | Family Medicine | 2020 Honey Creek Pkwy Se, Conyers, GA 30013-2974 | 2006-12-06 |
| 1194839597 | Maria Goyco | Internal Medicine | 2020 Honey Creek Pkwy Se, Conyers, GA 30013-2974 | 2006-08-19 |
| 1003849027 | Ghulam Mustafa Jarwar | Pediatrics | 2020 Honey Creek Pkwy Se, Suite E, Conyers, GA 30013-2974 | 2006-07-10 |
| 1104817014 | Ethel L Smith | Family Medicine | 2020 Honey Creek Pkwy Se, Conyers, GA 30013 | 2005-10-31 |
| 1215935507 | Mohamed H Kassam | Family Medicine | 2020 Honey Creek Pkwy Se, Conyers, GA 30013-2974 | 2005-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144842295 | Fit Therapy, LLC | Physical Therapist | 2008 Eastview Parkway, Suite 150, Conyers, GA 30013 | 2020-05-12 |
| 1144854753 | Atl Optical LLC | Optometrist | 1285 Ga 138, Conyers, GA 30013 | 2020-02-24 |
| 1386201820 | Achundris P Taylor | Social Worker | Harvest Grove Lane, Conyers, GA 30013 | 2019-05-21 |
| 1588153381 | Curbside Medical Transporters | Ambulance | 2404 Brynlyn Woods Dr Ne, Conyers, GA 30013 | 2018-05-07 |
| 1184124877 | Nursing Companion, LLC | Homemaker | 1064 Duke Dr, Conyers, GA 30013 | 2018-02-19 |
| 1588163638 | Atlanta Plus Urgent Care | Clinic/Center | 2121 Salem Rd. Se, Conyers, GA 30013 | 2018-02-05 |
| 1043735244 | Niki Tanyell Davis | Licensed Practical Nurse | 1403 Windy Hill Court, Conyers, GA 30013 | 2017-08-08 |
| 1063941490 | Comprehensive Health and Rehab LLC | Clinic/Center | 2500 Riverton Drive, Conyers, GA 30013 | 2017-06-08 |
| 1306373188 | Graceol Corporation | Family Medicine | 1035 Honey Creek Rd, Conyers, GA 30013 | 2017-05-11 |
| 1881149268 | Jsa Dental Associates Conyers PC | Dentist | 1151 Nor Tec Dr, Suite B, Conyers, GA 30013 | 2016-08-16 |
| Find all providers in zip 30013 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134383565 | Eastern Health Center PC | General Practice | 1455 Old Mcdonough Hwy #c, Conyers, GA 30094 | 2008-07-15 |
| 1649210006 | Sollage Pain Solutions of Georgia | General Practice | 1701 Ellington Rd Se, Suite B, Conyers, GA 30013-2192 | 2006-06-07 |
| 1285814491 | Darryl S Gross Md PC | General Practice | 2280 Salem Rd Se, Suite 102, Conyers, GA 30013-2003 | 2007-11-06 |
| 1407941131 | Jack Lee Sorg | General Practice | 1301 Well Brook Circle, Conyers, GA 30012-3873 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225638166 | Ihealthgp, LLC | General Practice | 10202 Masters Way, Alpharetta, GA 30005-8842 | 2020-10-29 |
| 1447861950 | Phynova Mso, LLC | General Practice | 1718 Peachtree St Nw Ste 380, Atlanta, GA 30309-2498 | 2020-08-10 |
| 1811507247 | Magnolia Medical Center LLC | General Practice | 101 Chase Ct Nw Ste B, Milledgeville, GA 31061-7188 | 2020-07-31 |
| 1952927279 | Total Health Solutions Medical Center | General Practice | 12220 Birmingham Hwy Ste A, Milton, GA 30004-4184 | 2020-06-23 |
| 1386260131 | Midnight Rose, LLC | General Practice | 6380 Bells Ferry Rd, Acworth, GA 30102-5435 | 2020-06-17 |
| 1477176394 | Optimal Choice Telehealth | General Practice | 1227 Rockbidge Rd Sw, Ste 208-354, Stone Mountain, GA 30087 | 2020-05-27 |
| 1053946004 | Proactive Medical Center | General Practice | 3455 Peachtree Industrial Blvd Ste 910, Duluth, GA 30096-6502 | 2020-03-10 |
| 1285265546 | Idea Body Institute Atlanta Asc | General Practice | 371 E Paces Ferry Rd Ne Ste 450, Atlanta, GA 30305-3292 | 2020-01-27 |
| 1730729849 | Summit Health Primary and Urgent Care LLC | General Practice | 120 Handley Rd Bldg 400 Ste #410, Tyrone, GA 30290-3029 | 2020-01-07 |
| 1770121030 | New Life Medical Centers Georgia LLC | General Practice | 3550 Lenox Rd Ne Ste 2100, Atlanta, GA 30326-1810 | 2019-12-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MARY JANE B KASSAM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.