DR. GEORGE ELLIS ABRAHAM III (NPI# 1518052257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518052257 |
| Entity Type | Individual |
| Full Name | DR. GEORGE ELLIS ABRAHAM III |
| Credential | M.D. |
| Practice Address |
2500 N State St Division of Pulmonary, Critical Care, and Sleep Med Jackson MS 39216-4500 |
| Mailing Address |
2500 N State St Dept of Pulmonary Jackson MS 39216-4500 |
| Practice Telephone | 6019845650 |
| Practice Fax Number | 6019845658 |
| Mailing Telephone | 6019845650 |
| Mailing Fax Number | 6019845658 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2014-05-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 19213 | MS | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
19213 | MS | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
19213 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 04021333 | 05 | |
| LA | 2359606 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225552649 | George Norman Abraham | Internal Medicine | 600 Elmwood Avenue, University of Rochester, Rochester, NY 14642 | 2017-07-27 |
| 1184669798 | George Abraham | Family Medicine | 1907 Mission 66, Vicksburg, MS 39180-3711 | 2006-06-18 |
| 1679552368 | George Abraham | Psychiatry & Neurology | 460 N Apple Tree Ln, Lafayette Hill, PA 19444-2602 | 2006-01-11 |
| 1730181876 | George Abraham | Internal Medicine | 123 Summer Street, Suite 370 North, Worcester, MA 01608-1312 | 2005-06-01 |
| 1639602394 | George Abraham | Registered Nurse | 70 Virginia Rd Apt 22c, White Plains, NY 10603-1426 | 2017-04-09 |
| 1023541018 | George Abraham | Internal Medicine | 501 Redmond Rd Nw, Rome, GA 30165-1415 | 2017-04-06 |
| 1609260595 | George Abraham | Speech-Language Pathologist | 1420 S Black Horse Pike, Williamstown, NJ 08094-9130 | 2015-03-27 |
| 1013352970 | George Abraham | Counselor | 614 W Manchester Blvd, Inglewood, CA 90301-1656 | 2013-05-06 |
| 1114156221 | George Abraham | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2009-07-09 |
| 1932377884 | George Abraham | Family Medicine | 2545 Schoenersville Rd, Bethlehem, PA 18017-7300 | 2008-02-13 |
| Street Address |
2500 N STATE ST DIVISION OF PULMONARY, CRITICAL CARE, AND SLEEP MED |
| City | JACKSON |
| State | MS |
| Zip Code | 39216-4500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477556231 | University Ophthalmology Associates | Ophthalmology | 2500 N State St, Ste B329, Jackson, MS 39216-4500 | 2005-05-24 |
| 1396346607 | Ashleigh Renfroe Hannah | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2020-11-03 |
| 1770182438 | Tara P. Carter | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2020-10-22 |
| 1679189849 | Raegan Wilson | Registered Nurse | 2500 N State St, Jackson, MS 39216-4500 | 2020-09-22 |
| 1851905095 | Violet Maloba Awori | Student in an Organized Health Care Education/Training Program | 2500 N State St, Jackson, MS 39216-4500 | 2020-09-04 |
| 1295348639 | Kassidy Voinche | Pharmacist | 2500 N State St, Jackson, MS 39216-4500 | 2020-08-25 |
| 1215549423 | Brittney Leeann Williams | Pharmacist | 2500 N State St, Jackson, MS 39216-4500 | 2020-08-19 |
| 1912519364 | Rashmi Verma | Internal Medicine | 2500 N State St, Jackson, MS 39216-4500 | 2020-08-18 |
| 1982215414 | Anita Dhanrajani | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2020-08-10 |
| 1528676954 | Nicholas Mcafee | Psychologist | 2500 N State St, Jackson, MS 39216-4500 | 2020-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861011553 | Ashley Melancon Prewitt | Registered Nurse | St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 | 2020-04-13 |
| 1194353391 | Brianna Arrington | Student in an Organized Health Care Education/Training Program | Med/ Peds, 2500 N. State St., Jackson, MS 39216 | 2020-04-01 |
| 1720616485 | Roshina Khalid Khan | Student in an Organized Health Care Education/Training Program | Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 | 2020-03-30 |
| 1275183550 | Amanda Lynn Morellato | Dentist | Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 | 2019-09-18 |
| 1396305553 | Abhishek Chhabra | Student in an Organized Health Care Education/Training Program | Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 | 2019-06-19 |
| 1427615996 | Hometown Diagnostics | Clinical Medical Laboratory | Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 | 2019-05-21 |
| 1346807773 | Shukundala C Smith | Behavior Technician | New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 | 2019-05-21 |
| 1063901098 | G Eli Howell Md Pllc | Plastic Surgery | 971 Lakeland Dr Ste 225, Jackson, MS 39216 | 2018-05-04 |
| 1588168132 | Caleb Zumbro | Student in an Organized Health Care Education/Training Program | Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 | 2018-03-20 |
| 1639677230 | Walgreen Co | Pharmacy | 971 Lakeland Dr Ste 101, Jackson, MS 39216 | 2018-01-29 |
| Find all providers in zip 39216 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760564660 | William Thomas Williams Jr. | Internal Medicine | 1200 N State St Ste 500, Jackson, MS 39202-2027 | 2006-10-19 |
| 1104877703 | Medical Specialty Clinic P.C. | Internal Medicine | 27 Medical Center Dr, Jackson, TN 38301-3949 | 2006-05-16 |
| 1356392054 | George Vraney | Internal Medicine | 176 W University Pkwy, Suite C, Jackson, TN 38305-1618 | 2006-05-15 |
| 1972567683 | Robert George Monie | Internal Medicine | 100 Mission Blvd Ste 2200, Jackson, CA 95642-2536 | 2006-04-12 |
| 1922003953 | Barry Whites | Internal Medicine | 1151 N State St, Ste 617, Jackson, MS 39202-2407 | 2005-06-16 |
| 1356888218 | W.a. Foote Memorial Hospital, Inc | Internal Medicine | 205 N. East Ave, Jackson, MI 49201 | 2017-01-30 |
| 1578965240 | Portis Medical Solutions LLC | Internal Medicine | 1225 N State St, Jackson, MS 39202-2064 | 2014-09-24 |
| 1275820847 | Brandon Pierce Garriga | Internal Medicine | 971 Lakeland Dr Ste 1052, Jackson, MS 39216-4609 | 2011-07-05 |
| 1326335902 | Charles E. Evans IIi | Internal Medicine | 971 Lakeland Dr Ste 1052, Jackson, MS 39216-4609 | 2011-07-05 |
| 1639478175 | Rajesh G Patel Md Pllc | Internal Medicine | 1225 N State St, Jackson, MS 39202-2064 | 2011-03-23 |
| Find all providers in JACKSON | ||||
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| 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.