MARY JANE B KASSAM (MD) – General Practice Physician, NPI 1306844675
General Practice Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MARY JANE B KASSAM (MD)
2020 HONEY CREEK PKWY SE
CONYERS, GA 300132974
Phone: (770) 929-0813
Fax: (770) 922-8653
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)
CMS reports 12 Open Payments records for all available years, with a total value of $370.
Total Amount is formed as General ($370) + Research ($0) + Ownership ($0) = $370.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Lilly USA, LLC ($134).
Total Amount
$370
General + Research + Ownership
Payments
12
Total payment records
General Amount
$370
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $134 |
| GE HEALTHCARE | $125 |
| GlaxoSmithKline, LLC. | $49 |
| PFIZER INC. | $29 |
| Novo Nordisk Inc | $20 |
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: 2006-03-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060328000042 | I | Family Practice | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30013)
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Reviews
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