SEMHAR ABRAHA
NPI 1871156414
Nurse Practitioner in Augusta, GA

Q: What is Semhar Abraha's NPI number?

The NPI number for Semhar Abraha is 1871156414. It was assigned to this individual provider in the NPPES registry on April 18, 2019.

Q: What is Semhar Abraha's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Semhar Abraha was last updated on March 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 April 18, 2019PECOS EnrolledAccepts Medicare Assignment

91.6/100

CMS Quality Rating

1348 WALTON WAY STE 6700, AUGUSTA, GA 30901(706) 774-7855(706) 774-8620 Get Directions Write a Review

NPPES record last updated: March 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Semhar Abraha NPPES

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

SEMHAR ABRAHA (NPI 1871156414) is an individual nurse practitioner in Augusta, Georgia, licensed in Georgia (RN244134) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Emory University Hospital Midtown, and maintains a secondary practice location in Stone Mountain.

NPPES Registry Identity

NPI1871156414

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSEMHAR ABRAHA

Location Address1348 WALTON WAY STE 6700Augusta, GA 30901-5111

Mailing AddressPo Box 1705Augusta, GA 30903-1705 · (706) 774-7855 · Fax (706) 774-8620

Phone(706) 774-7855

Fax(706) 774-8620

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateApril 18, 2019

Last NPPES UpdateMarch 21, 2022

NPPES CertifiedMarch 21, 2022

✔ NPI 1871156414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in GA · RN244134

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1348 WALTON WAY STE 6700, Augusta, GA 30901

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Secondary Practice Location 1

Location 1997 Oakwood Chase CirStone Mountain, GA 30083-5063 · Phone (404) 641-7597

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Semhar Abraha is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072947068

PECOS Enrollment IDI20191228000091

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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

13 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110078

Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County

Emergency services Birthing friendly

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110079

Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30901 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.6/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

75.42

Promoting Interoperability

100

Improvement Activities

Cost

Other Providers at the Same Location NPPES 9

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

DARSHAK K KARIA MD

Internal Medicine (Advanced Heart Failure and Transplant Cardiology)