Mariam Nematalla Antonios, D.O.
NPI 1164885901ActiveIndividual· Family Medicine· Lawrenceville, GA
Family Medicine (D.O.) in Lawrenceville, Georgia, trained at Rowan University School of Osteopathic Medicine (class of 2016). Their prescriptions cost Medicare Part D more than their services did: $72,660 for 594 claims, against $4,087 paid for services in 2024. Glaxosmithkline, LLC. reported $16.95 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1164885901 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | No |
| NPI issued | Mar 30, 2016 |
| Last updated in NPPES | Sep 22, 2020 |
| Certified by provider | Sep 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 86461 | GA |
| Family Medicine | 207Q00000X | 00000 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 33 |
|---|---|
| Services billed | 55 across 10 procedure codes |
| Paid by Medicare | $4,087 |
Part D prescriptions in 2024
| Prescriptions (claims) | 594 · 1,272 30-day fills |
|---|---|
| Patients | 120 |
| Total drug cost | $72,660 |
| Generic share | 81% of claims |
Education and affiliations
| Medical school | Rowan University School of Osteopathic Medicine |
|---|---|
| Graduation year | 2016 |
| Medicare specialty | Family Practice |
| Telehealth | Offers telehealth |
Medical group
- Grady Memorial Hospital CorporationAtlanta, GA · 376 clinicians
Hospital affiliation
- Grady Memorial HospitalAtlanta, GA
Industry payments (Open Payments)
- 2025$16.95 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Glaxosmithkline, LLC. | $16.95 | 1 |
What the 2025 payments were for
- Food and Beverage$16.95 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other family medicine physicians in Lawrenceville
- 1003020041
- 1033134556
- 1073675641
- 1114347580
- 1144279027
- 1144752411
- 1215357629
- 1235706631
- 1245673060
- 1265651541
- 1306064530
- 1306069380
All 91 family medicine physicians in Lawrenceville · All family medicine physicians in Georgia