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

Mariam Nematalla Antonios, DO

Individual provider Family Medicine Physician · NPI 1164885901

Mariam Nematalla Antonios, DO is a Family Practice in Lawrenceville, Georgia. Graduated from Rowan University School of Osteopathic Medicine in 2016, 10 years ago. Practices with Grady Memorial Hospital Corporation, a 363-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
10
Trained at
Rowan University School of Osteopathic Medicine
Licensed in
GA
In the registry since
2016
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

665 Duluth Hwy Ste 501
Lawrenceville, GA 30046-8709
Phone: (678) 312-0400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9000 Franklin Square Dr, Baltimore, MD 21237-3901 — (443) 777-8257

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 86461 (GA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 00000 (GA)

Record details

NPI number1164885901
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 30, 2016
Last updated in NPPESSeptember 22, 2020
Certification dateSeptember 22, 2020
Mailing address665 Duluth Hwy Ste 501, Lawrenceville, GA 30046-8709

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolROWAN UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE
Graduated 2016 (10 years in practice)
Group practice Grady Memorial Hospital Corporation — 363 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Lawrenceville