CMS-1500 Box 24J / 33a • NPI
1780112789
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363LF0000X (CMS 50)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family
Box 32 Service Location & ZIP+4
939 BOB ARNOLD BLVD STE A&F, LITHIA SPRINGS, GA, 30122-3258
✓ 9-Digit EDI 837 ZIP+4 (30122-3258)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1780112789 (MARY TEMILOLA ABDUL, RN-BC, MSN, FNP-BC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
No
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1780112789)
Medicare Beneficiaries
64
Total Billed Services
341
Distinct CPT/HCPCS Codes
27
Medicare Allowed Total
$9,361.89
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
87804 | Detection test by immunoassay with direct visual observation for influenza virus | 32 |
96372 | Injection of drug or substance under skin or into muscle | 26 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 15 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 26 |
J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 114 |
U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 16 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Azithromycin Azithromycin | 18 | 18 |
| Prednisone Prednisone | 13 | 13 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1780112789 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | MARY TEMILOLA ABDUL, RN-BC, MSN, FNP-BC |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family NUCC Code: 363LF0000X (Nurse Practitioner, Family) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 939 BOB ARNOLD BLVD STE A&F, LITHIA SPRINGS, GA, 30122-3258 |
| Practice Telephone / Fax | Tel: (770) 769-1724 |
| Administrative Mailing Address | 2258 TRIPLE CROWN LN, LITHONIA, GA, 30058-2101 |
| Enumeration & Last Sync | Enumerated: 2017-06-02 | CMS Record Updated: 2025-10-30 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
🗺️ Open in Google Maps 🏥 More Providers in LITHIA SPRINGS
🔒 Are you MARY TEMILOLA ABDUL, RN-BC, MSN, FNP-BC? Get your Verified NPI Clinic Badge or request personal phone/address redaction →
Plain-English Taxonomy & CMS Crosswalk (363LF0000X)
What Does Taxonomy Code 363LF0000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LF0000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (MARY TEMILOLA ABDUL, RN-BC, MSN, FNP-BC)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
363LF0000X — Nurse Practitioner, FamilyPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family | State: NY | License: F341113-1 | Primary: Secondary |
363LF0000X — Nurse Practitioner, FamilyPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family | State: GA | License: APRN301836 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.