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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. OPHELIA ALICIA ABBEY DNP
NPI 1215232491
Nurse Practitioner - Pediatrics in Sandy Springs, GA

Active since January 19, 2011PECOS Enrolled
5887 GLENRIDGE DR STE 230, SANDY SPRINGS, GA 30328(470) 210-8179(470) 729-7016 Get Directions Write a Review

NPPES record last updated: October 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 5, 2026, Aug 11, 2026, Apr 24, 2017 and 1 more (4 updates tracked since 2016).

About Dr. Ophelia Alicia Abbey Dnp NPPES

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

DR. OPHELIA ALICIA ABBEY DNP (NPI 1215232491) is an individual pediatrics provider in Sandy Springs, Georgia, licensed in Georgia (APRN-NP215132) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215232491
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameDR. OPHELIA ALICIA ABBEYCredential: DNP
Location Address5887 GLENRIDGE DR STE 230Sandy Springs, GA 30328-9929
Mailing Address5887 Glenridge Dr Ste 230Sandy Springs, GA 30328-9929 · (470) 210-8179 · Fax (470) 729-7016
Phone(470) 210-8179
Fax(470) 729-7016
Sole ProprietorNo
Enumeration DateJanuary 19, 2011
Last NPPES UpdateOctober 5, 20264 updates tracked since enumeration
NPPES CertifiedOctober 5, 2026
✔ NPI 1215232491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses✔ Licensed in GA · APRN-NP215132✔ Licensed in TX · AP119050
5887 GLENRIDGE DR STE 230, Sandy Springs, GA 30328
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ophelia Alicia Abbey Dnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Ophelia Abbey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Education, Assessment And Leadership, Inc
16 mi
Federally Qualified Health Center (FQHC)
3915 CASCADE RD SW
Atlanta, GA 30331
  • Reassigned Medicare billing, Georgia enrollment
  • 12 clinicians in this Medicare group
NPI 1831476399 (404) 564-7749

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30328 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRANDON LANDRY PSYD
Psychologist (Clinical)
5887 GLENRIDGE DR STE 230
SANDY SPRINGS, GA 30328
Fulton County (470) 207-2410
MRS. SHARION PHELPS LMFT
Marriage & Family Therapist
5887 GLENRIDGE DR STE 230
ATLANTA, GA 30328
Fulton County (678) 201-5889
DR. CATHY LAU BARRACO PH.D.
Psychologist (Clinical)
5887 GLENRIDGE DR STE 230
SANDY SPRINGS, GA 30328
Fulton County (407) 694-8923
MARLEEN R SALTERS
Counselor (Professional)
5887 GLENRIDGE DR STE 230
ATLANTA, GA 30328
Fulton County (888) 243-6918
RACHAEL MARTINEZ GERMOSEN RDN
Dietitian, Registered
5887 GLENRIDGE DR STE 230
SANDY SPRINGS, GA 30328
Fulton County (678) 267-5316
YERINA KNOBLOCK MFT
Marriage & Family Therapist
5887 GLENRIDGE DR STE 230
SANDY SPRINGS, GA 30328
Fulton County (949) 289-1000
JASMINE TERRY LCSW
Counselor (Mental Health)
5887 GLENRIDGE DR STE 230
SANDY SPRINGS, GA 30328
Fulton County (404) 490-2926
DR. DIONNE MAHAFFEY-MUHAMMAD PSYD
Counselor (Professional)
5887 GLENRIDGE DR STE 230
ATLANTA, GA 30328
Fulton County (404) 390-4098

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 Ophelia Abbey's NPI number?

The NPI number for Ophelia Abbey is 1215232491. It was assigned to this individual provider in the NPPES registry on January 19, 2011.

Where is Ophelia Abbey located?

Ophelia Abbey practices at 5887 Glenridge Dr Ste 230, Sandy Springs, GA 30328. The listed phone number is (470) 210-8179.

What is Ophelia Abbey's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Ophelia Abbey enrolled in Medicare?

Yes. Ophelia Abbey is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ophelia Abbey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ophelia Abbey reassigns Medicare benefits to Health Education, Assessment And Leadership, Inc (Atlanta, GA). The 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 Ophelia Abbey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ophelia Abbey accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Ophelia Abbey as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ophelia Abbey was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.