DR. MAZEN A ABDALLA (M.D.) – Nephrology Physician, NPI 1467420893

DR. MAZEN A ABDALLA (M.D.) is a healthcare provider. based in Covington, Georgia. specializing in NEPHROLOGY. They hold the professional credentials M.D.. They hold a License No. 038414 (GA). The NPI Number for DR. MAZEN A ABDALLA (M.D.) is 1467420893

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
DR. MAZEN A ABDALLA (M.D.)
NPI
1467420893
Phone
(678) 344-0334
Address
10132 Carlin Drive
Enumeration Date
10 March 2006
Last Update Date
10 December 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6783440334
Graduation Year
1982 (44 years ago)
PAC ID
7416957840
Group Practice PAC ID
0749353225
Professional Enrollment ID
I20071107000243
Address ID
GA300786107SN2386XSTXX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

431 NEPHROLOGY in GA

Provider Addresses for DR. MAZEN A ABDALLA (M.D.)

  • 10132 Carlin Drive

    Covington, GA 30014

    Phone: (678) 344-0334

    Fax: (678) 344-0343

    Type: Location

  • 1501 Milstead Rd NE Ste 150

    Conyers, GA 300123857

    Phone: (678) 344-0334

    Fax: (678) 344-0343

    Type: Location

  • 3370 Sugarloaf Pkwy Ste A1

    Lawrenceville, GA 300445491

    Phone: (678) 344-0334

    Fax: (678) 344-0343

    Type: Location

  • 4805 Lawrenceville Hwy NW Ste 320

    Lilburn, GA 300473800

    Phone: (678) 344-0334

    Fax: (678) 344-0343

    Type: Location

  • 2386 CLOWER ST STE C105

    SNELLVILLE, GA 300786107

    Phone: (678) 344-0334

    Fax: (678) 344-0343

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $50.

Total Amount is formed as General ($50) + Research ($0) + Ownership ($0) = $50.

Last reported payment date: 2024-08-22 • Largest payer in this snapshot: Travere Therapeutics, Inc. ($50).

Total Amount

$50

General + Research + Ownership

Payments

10

Total payment records

General Amount

$50

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-11-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20071107000243INephrologyGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90960Dialysis services, 4 or more physician visits per month (20 years or older)31754$0
99214Established patient office or other outpatient visit, 30-39 minutes281162$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes16799$0
99215Established patient office or other outpatient visit, 40-54 minutes4943$0
90961Dialysis services, 2-3 physician visits per month (20 years or older)4727$0
View full utilization report →

Insurance plans in this area (ZIP 30014)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749353225View full group profile
NameSpecialtyState
Internal MedicineGA
N E P H R O L O G YGA

Reviews

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Frequently asked questions

What is the standard ID for DR. MAZEN A ABDALLA (M.D.) in the U.S.?
In the U.S., DR. MAZEN A ABDALLA (M.D.) is identified by NPI 1467420893.
Should I treat DR. MAZEN A ABDALLA (M.D.) as an active provider?
Patients and plans typically see DR. MAZEN A ABDALLA (M.D.) as active in the national extract.
Which specialty label fits DR. MAZEN A ABDALLA (M.D.)?
NPPES ties DR. MAZEN A ABDALLA (M.D.) to Nephrology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. MAZEN A ABDALLA (M.D.)?
DR. MAZEN A ABDALLA (M.D.) shows a connection to Covington, Georgia in registry-derived data.
Who maintains DR. MAZEN A ABDALLA (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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