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MISS MARY TEMILOLA ABDUL RN-BC, MSN, FNP-BC
NPI 1780112789
Nurse Practitioner - Family in Lithia Springs, GA

Active since June 02, 2017PECOS Enrolled
939 BOB ARNOLD BLVD STE A&F, LITHIA SPRINGS, GA 30122(770) 769-1724 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 9, 2024, Jul 18, 2024, Sep 4, 2019 and 5 more (8 updates tracked since 2017).

About Miss Mary Temilola Abdul Rn-bc, Msn, Fnp-bc NPPES

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

MISS MARY TEMILOLA ABDUL RN-BC, MSN, FNP-BC (NPI 1780112789) is an individual family provider in Lithia Springs, Georgia, licensed in Georgia (APRN301836) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1780112789
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMISS MARY TEMILOLA ABDULCredential: RN-BC, MSN, FNP-BC
Location Address939 BOB ARNOLD BLVD STE A&FLithia Springs, GA 30122-3258
Mailing Address2258 Triple Crown LnLithonia, GA 30058-2101 · (646) 880-7317 · Fax (516) 542-5556
Phone(770) 769-1724
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 2, 2017
Last NPPES UpdateOctober 30, 20258 updates tracked since enumeration
NPPES CertifiedOctober 30, 2025
✔ NPI 1780112789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in GA · APRN301836✔ Licensed in NY · F341113-1
939 BOB ARNOLD BLVD STE A&F, Lithia Springs, GA 30122
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Mary Temilola Abdul Rn-bc, Msn, Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769748987
PECOS Enrollment IDI20211103000139
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
114 services12 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
32 services16 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
26 services20 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
26 services26 patients
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc U0002
This refers to a test for COVID-19, caused by the SARS-CoV-2 virus. The test identifies multiple types or subtypes of the virus, including all targets. It's not specifically based on the CDC's testing protocol. It helps determine if you're currently infected with the virus.
16 services16 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30122 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.

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 Abdul's NPI number?

The NPI number for Mary Abdul is 1780112789. It was assigned to this individual provider in the NPPES registry on June 2, 2017.

Where is Mary Abdul located?

Mary Abdul practices at 939 Bob Arnold Blvd Ste A&f, Lithia Springs, GA 30122. The listed phone number is (770) 769-1724.

What is Mary Abdul's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mary Abdul enrolled in Medicare?

Yes. Mary Abdul is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Abdul was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.