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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.

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: August 02, 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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

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 24 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.