NPI age
20 years
Enumerated 2005-12-05
● Active
Type 1 · Individual
Abigail Kamishlian, M.D.
Kamishlian is 1 of 12 pediatrics providers in Forest Park and 1 of 2726 in Georgia.
Primary specialty
Pediatrics
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2013-08-30
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 2726 active pediatrics providers in Georgia.
NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-12Enumerated in NPPES
2005
2026
Where they practice
Practice location
4905 Courtney Dr
Forest Park, GA 302971427
Mailing address
4905 Courtney Dr
Forest Park, GA 302971427
Specialties
-
Pediatrics PrimaryA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000777741D | |
| 01 (GA) | 305675 | WELLCARE |
| 01 (GA) | 58-1631879 | TAX ID |
| 01 (GA) | 966369 | BLUE CROSS BLUE SHIELD |
| 01 (GA) | 260699313 | TAX ID |
| 01 (GA) | 10038631 | AMERIGROUP |
| 05 (GA) | 000777741E | |
| 05 (GA) | 000777741G | |
| 05 (GA) | 000777741C |
Practice context
Part of a multi-provider practice. 15 other active providers share this practice address in NPPES.
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