ABENA KORAM MD
NPI 1538586474
Pediatrics in Douglasville, GA

Q: What is Abena Koram's NPI number?

The NPI number for Abena Koram is 1538586474. It was assigned to this individual provider in the NPPES registry on March 27, 2014.

Q: What is Abena Koram's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Abena Koram was last updated on November 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since March 27, 2014PECOS Enrolled

6095 PROFESSIONAL PKWY STE 100, DOUGLASVILLE, GA 30134(770) 920-2255(770) 920-9963 Get Directions Write a Review

NPPES record last updated: November 21, 2019. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Abena Koram Md NPPES

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

ABENA KORAM MD (NPI 1538586474) is an individual pediatrics provider in Douglasville, Georgia, licensed in Georgia (78530) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Columbus.

NPPES Registry Identity

NPI1538586474

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameABENA KORAMCredential: MD

Location Address6095 PROFESSIONAL PKWY STE 100Douglasville, GA 30134-5607

Mailing Address805 Sandy Plains Road, Medical Staff ServicesMarietta, GA 30066-6340

Phone(770) 920-2255

Fax(770) 920-9963

Sole ProprietorNo

Enumeration DateMarch 27, 2014

Last NPPES UpdateNovember 21, 2019

✔ NPI 1538586474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in GA · 78530

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

6095 PROFESSIONAL PKWY STE 100, Douglasville, GA 30134

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Secondary Practice Location 1

Location 1700 Childrens DrColumbus, OH 43205-2664 · Phone (614) 722-4411 · Fax (614) 722-6132

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Abena Koram 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30134 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

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

DR. AN-PHUONG THUY LE M.D.

Pediatrics

6095 PROFESSIONAL PKWY STE 100
DOUGLASVILLE, GA 30134

Douglas County (770) 920-2255

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 Abena Koram's NPI number?

The NPI number for Abena Koram is 1538586474. It was assigned to this individual provider in the NPPES registry on March 27, 2014.

Where is Abena Koram located?

Abena Koram practices at 6095 Professional Pkwy Ste 100, Douglasville, GA 30134. The listed phone number is (770) 920-2255.

What is Abena Koram's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Abena Koram enrolled in Medicare?

Yes. Abena Koram is registered in the Medicare PECOS enrollment system.

What insurance does Abena Koram accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Abena Koram 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 Abena Koram was last updated on November 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.