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MARY JANE B KASSAM MD
NPI 1306844675
General Practice in Conyers, GA

Active since July 12, 2005PECOS Enrolled
2020 HONEY CREEK PKWY SE, CONYERS, GA 30013(770) 929-0813(770) 922-8653 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mary Jane B Kassam Md NPPES

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

MARY JANE B KASSAM MD (NPI 1306844675) is an individual general practice provider in Conyers, Georgia, licensed in Georgia (033610) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306844675
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameMARY JANE B KASSAMCredential: MD
Location Address2020 HONEY CREEK PKWY SEConyers, GA 30013-2974
Mailing Address2020 Honey Creek Pkwy SeConyers, GA 30013-2974 · (770) 929-0813 · Fax (770) 922-8653
Phone(770) 929-0813
Fax(770) 922-8653
Sole ProprietorNo
Enumeration DateJuly 12, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1306844675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in GA · 033610
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
2020 HONEY CREEK PKWY SE, Conyers, GA 30013
Open in Google Maps ↗

Other Identifiers 1

Medicaid00447323AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Jane B Kassam Md 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 Mary Jane Kassam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rockdale Family Practice, PC
Same address
Family Medicine
2020 HONEY CREEK PKWY SE
Conyers, GA 30013
  • Reassigned Medicare billing, Georgia enrollment
  • 4 clinicians in this Medicare group
NPI 1952460149 (770) 929-0813

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

Other Providers at the Same Location NPPES 10

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

GHULAM MUSTAFA JARWAR M.D
Pediatrics
2020 HONEY CREEK PKWY SE, SUITE E
CONYERS, GA 30013
Rockdale County (770) 922-0553
INDIRA R ASSER MD
Family Medicine
2020 HONEY CREEK PKWY SE
CONYERS, GA 30013
Rockdale County (770) 929-0813
ETHEL L SMITH MD
Family Medicine
2020 HONEY CREEK PKWY SE
CONYERS, GA 30013
Rockdale County (770) 919-0813
NAYEEM AKMAL MD
Family Medicine
2020 HONEY CREEK PKWY SE
CONYERS, GA 30013
Rockdale County (770) 929-0813
MRS. KATIE LYN KURTZ PA-C
Physician Assistant (Medical)
2020 HONEY CREEK PKWY SE
CONYERS, GA 30013
Rockdale County (770) 929-0813
MARIA GOYCO M.D.
Internal Medicine
2020 HONEY CREEK PKWY SE
CONYERS, GA 30013
Rockdale County (770) 929-0813
MARGARET ANNE GALBIERZ PA-C
Physician Assistant (Medical)
2020 HONEY CREEK PKWY SE
CONYERS, GA 30013
Rockdale County (770) 929-0813
MR. MICHAEL MARTIN JOHNSON PA-C
Physician Assistant (Medical)
2020 HONEY CREEK PKWY SE
CONYERS, GA 30013
Rockdale County (770) 929-0813

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 Mary Jane Kassam's NPI number?

The NPI number for Mary Jane Kassam is 1306844675. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Where is Mary Jane Kassam located?

Mary Jane Kassam practices at 2020 Honey Creek Pkwy SE, Conyers, GA 30013. The listed phone number is (770) 929-0813.

What is Mary Jane Kassam's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Mary Jane Kassam enrolled in Medicare?

Yes. Mary Jane Kassam is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Jane Kassam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Jane Kassam reassigns Medicare benefits to Rockdale Family Practice, PC (Conyers, 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 Mary Jane Kassam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Jane Kassam accept?

Health plans from Ambetter Health list Mary Jane Kassam 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 Mary Jane Kassam was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.