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DR. B ABRAHAM PC
NPI 1104826775
Family Medicine in Snellville, GA

Active since July 26, 2005CLIA 11D0699165 · Waiver
3020 HIGHWAY 124, SNELLVILLE, GA 30039(770) 978-1331(770) 978-8580 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. B Abraham Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. B ABRAHAM PC (NPI 1104826775) is a healthcare organization registered as a family medicine in Snellville, Georgia and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Stephanie Breen, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1104826775
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDR. B ABRAHAM PC
Location Address3020 HIGHWAY 124Snellville, GA 30039-4614
Mailing Address3020 Highway 124Snellville, GA 30039-4614 · (770) 978-1331 · Fax (770) 978-8580
Phone(770) 978-1331
Fax(770) 978-8580
Organization SubpartNo
Authorized OfficialStephanie BreenPractice Administrator · (770) 978-1331
Enumeration DateJuly 26, 2005
Last NPPES UpdateJanuary 26, 2026
NPPES CertifiedJanuary 26, 2026
✔ NPI 1104826775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3020 HIGHWAY 124, Snellville, GA 30039
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. B Abraham Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Dr. B Abraham PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Benjamin Abraham, DO
Family Practice
NPI 1538156542
3020 HIGHWAY 124
Snellville, GA 30039
(770) 978-1331
✔ PECOS✔ Accepts MedicareSame address
Kasey Lieu, FNP-C
Nurse Practitioner
NPI 1245716505
3020 HIGHWAY 124
Snellville, GA 30039
(770) 978-1331
✔ PECOSSame address
Gainneos Goldie, MD
Geriatric Medicine
NPI 1194778878
3020 HIGHWAY 124
Snellville, GA 30039
(770) 978-1331
✔ PECOS✔ Accepts Medicare2.5 mi
Soo Jin Lee, D.O.
Family Practice
NPI 1457702862
3020 HWY 124
Snellville, GA 30039
(770) 978-1331
✔ PECOS✔ Accepts Medicare2.5 mi
Todd Bender, NP-C
Nurse Practitioner
NPI 1013360767
5032 GREEN OAK DR SW
Lilburn, GA 30047
(678) 978-2584
✔ PECOS✔ Accepts Medicare5.1 mi
Sophia Brune-Herrera Le
Nurse Practitioner
NPI 1447945167
1192 ROCKBRIDGE RD STE A
Stone Mountain, GA 30087
(770) 925-2010
✔ PECOS✔ Accepts Medicare5.9 mi
Kristin Viaggio, NP
Nurse Practitioner
NPI 1689454209
2001 PEACHTREE RD NE STE 425
Atlanta, GA 30309
(404) 350-2404
✔ PECOS✔ Accepts Medicare21 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D0699165

Dr B Abraham PC · Snellville, GA
Active · expires Aug 31, 2028
CLIA Number11D0699165
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorBenjamin Abraham
Laboratory Phone(770) 978-1331
Laboratory LocationDr B Abraham PC3020 Highway 124, Snellville, GA 30039
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr. B Abraham PC's NPI number?

The NPI number for Dr. B Abraham PC is 1104826775. It was assigned to this organization in the NPPES registry on July 26, 2005.

Where is Dr. B Abraham PC located?

Dr. B Abraham PC is located at 3020 Highway 124, Snellville, GA 30039. The listed phone number is (770) 978-1331.

What is Dr. B Abraham PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Dr. B Abraham PC enrolled in Medicare?

Yes. Dr. B Abraham PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dr. B Abraham PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Dr. B Abraham PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4), Family Practice (2) and Geriatric Medicine (1). Of these, 2 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Dr. B Abraham PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0699165) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dr. B Abraham PC was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.