DR. B ABRAHAM PC – Family Medicine Physician, NPI 1104826775

DR. B ABRAHAM PC is a healthcare provider. based in Snellville, Georgia. specializing in Family Medicine Physician. The NPI Number for DR. B ABRAHAM PC is 1104826775

Main info

Organization
Name
DR. B ABRAHAM PC
NPI
1104826775
Phone
(770) 978-1331
Address
3020 HIGHWAY 124
Authorized Official
STEPHANIE BREEN PRACTICE ADMINISTRATOR
Enumeration Date
26 July 2005
Last Update Date
26 January 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:20State licenses:0Digital endpointsOther names

Provider Addresses for DR. B ABRAHAM PC

  • 3020 HIGHWAY 124

    SNELLVILLE, GA 300394614

    Phone: (770) 978-1331

    Fax: (770) 978-8580

    Mailing address matches the actual address.

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: 2004-05-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-08-31 (284 days ago).

Enrollment records

1

Earliest due date

2025-08-31

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
O20040510001427OClinic/Group PracticeGA2025-08-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30039)

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Reviews

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Frequently asked questions

How do I look up DR. B ABRAHAM PC by NPI?
Use NPI 1104826775 when you need to reference DR. B ABRAHAM PC in forms, claims, or directories.
Is DR. B ABRAHAM PC currently active in the NPI registry?
CMS-published data lists DR. B ABRAHAM PC as an active registrant.
What kind of provider is DR. B ABRAHAM PC?
The page reflects Family Medicine Physician for DR. B ABRAHAM PC. Clinical services aligned with this taxonomy classification.
Where is DR. B ABRAHAM PC's primary listing?
We display Snellville, Georgia because that is what the record indicates for DR. B ABRAHAM PC.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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