MISS MARY TEMILOLA ABDUL (RN-BC, MSN, FNP-BC) – Family Nurse Practitioner, NPI 1780112789
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
Provider Addresses for MISS MARY TEMILOLA ABDUL (RN-BC, MSN, FNP-BC)
2258 TRIPLE CROWN LN
LITHONIA, GA 300582101
Phone: (646) 880-7317
Fax: (516) 542-5556
Type: Mailing
1280 Dogwood Dr SE
Conyers, GA 300135046
Phone: (404) 994-4662
Fax: (404) 994-4663
Type: Location
939 BOB ARNOLD BLVD STE A&F
LITHIA SPRINGS, GA 301223258
Phone: (770) 769-1724
Type: Location
55 Water Street, 55, Water Street, Financial District, Manhattan Community Board 1, Manhattan, New York County, New York, 10004, United States
2ND FLOOR
NEW YORK, NY 100410004
Phone: (718) 680-2888
Fax: (516) 542-5556
Type: Mailing
137th Avenue, Rochdale Village, Queens, New York, 11434, United States
ROCHDALE VILLAGE, NY 11434
Phone: (646) 680-4227
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2021-11-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20171103002046 | I | Nurse Practitioner | NY | TBD |
| I20211103000139 | I | Nurse Practitioner | GA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 166 | 19 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 71 | 68 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 36 | 18 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 33 | 33 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 30 | 30 | $0 |
Insurance plans in this area (ZIP 30058)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NC | |
| Physician Assistant | GA | |
| Nurse Practitioner | FL | |
| Emergency Medicine, Family Practice | GA | |
| - | GA | |
| Family Practice | GA | |
| Physician Assistant | GA | |
| Family Practice | NJ | |
| - | GA | |
| Physician Assistant | GA |
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