Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Israel J Cabanas Jr.

Individual provider Family Medicine Physician · NPI 1407911647

Dr. Israel J Cabanas Jr. is a Family Practice in Stone Mountain, Georgia. Qualified in 1992, 34 years ago. Practices with Emory Specialty Associates, LLC, a 694-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
34
Licensed in
GA
In the registry since
2006
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Practice location Address checks out

5462 Memorial Dr Ste 202
Stone Mountain, GA 30083-3239
Phone: (404) 292-5676
Fax: (404) 299-8657
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 037769 (GA)

Record details

NPI number1407911647
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 27, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Emory Specialty Associates, Llc — 694 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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