EDEM JEREMY ABOTSI MD
NPI 1114617354
Student in an Organized Health Care Education/Training Program in Stone Mountain, GA

Active since May 10, 2023
5872 SOUTHLAND DR, STONE MOUNTAIN, GA 30087(770) 289-7045 Get Directions Write a Review

NPPES record last updated: May 10, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Edem Jeremy Abotsi Md NPPES

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

EDEM JEREMY ABOTSI MD (NPI 1114617354) is an individual student in an organized health care education/training program in Stone Mountain, Georgia and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1114617354
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameEDEM JEREMY ABOTSICredential: MD
Location Address5872 SOUTHLAND DRStone Mountain, GA 30087-5281
Mailing Address5872 Southland DrStone Mountain, GA 30087-5281 · (770) 289-7045
Sole ProprietorNo
Enumeration DateMay 10, 2023
NPPES CertifiedMay 10, 2023
NPI 1114617354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
5872 SOUTHLAND DR, Stone Mountain, GA 30087

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 Edem Abotsi's NPI number?

The NPI number for Edem Abotsi is 1114617354. It was assigned to this individual provider in the NPPES registry on May 10, 2023.

Where is Edem Abotsi located?

Edem Abotsi practices at 5872 Southland Dr, Stone Mountain, GA 30087. The listed phone number is (770) 289-7045.

What is Edem Abotsi's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Edem Abotsi was last updated on May 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.