MATTHEW ABBOTT (NPI# 1417572959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417572959 |
| Entity Type | Individual |
| Full Name | MATTHEW ABBOTT |
| Credential | MD |
| Practice Address |
1120 15th St Augusta GA 30912-0006 |
| Mailing Address |
2813 Springwood Dr Augusta GA 30909-2332 |
| Practice Telephone | 7067217005 |
| Mailing Telephone | 8502185781 |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2020-06-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
11966 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720620263 | Matthew R Abbott | Pharmacist | 8 N Cavalier Dr Ste A, Alamo, TN 38001-6468 | 2019-10-16 |
| 1770045718 | Matthew Ryan Abbott | Student in an Organized Health Care Education/Training Program | 2301 Erwin Rd, Durham, NC 27705-4699 | 2019-04-01 |
| 1518486612 | Matthew Abbott | Social Worker | 8931 Huron St, Thornton, CO 80260-6806 | 2017-09-11 |
| 1154738003 | Matthew Abbott | Physician Assistant | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2014-07-11 |
| 1053579615 | Matthew David Abbott | Orthopaedic Surgery | 8402 Harcourt Rd, Indianapolis, IN 46260-2074 | 2008-05-29 |
| 1790734986 | Matthew John Abbott | Counselor | 871 State St, New Haven, CT 06511-3923 | 2006-05-08 |
| Street Address |
1120 15TH ST |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30912-0006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427051556 | Gyanendra Kumar Sharma | Internal Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2005-05-23 |
| 1912508532 | Lacey Nichol Preston | Physician Assistant | 1120 15th St, Augusta, GA 30912-0004 | 2020-11-02 |
| 1992302988 | Victoria Mae Pregibon | Physician Assistant | 1120 15th St, Augusta, GA 30912-0004 | 2020-10-03 |
| 1275130239 | Tanya Renee Hall | Nurse Practitioner | 1120 15th St, Augusta, GA 30912-0004 | 2020-10-02 |
| 1144847864 | Cassandra Marie Voong | Internal Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-29 |
| 1245857002 | Morgan Rowe | Nurse Practitioner | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-28 |
| 1639795990 | Lauren Christine Bush | Audiologist | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-23 |
| 1811513575 | Ashley Danielle Fox | Internal Medicine | 1120 15th St, Augusta, GA 30912-0006 | 2020-06-18 |
| 1265058994 | Matthew Craddock | Psychiatry & Neurology | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-18 |
| 1437775301 | Joseph John Arellano | Emergency Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885940 | Hannah Gullickson Folsom | Family Medicine | 1459 Laney Walker Blvd Ae 3042, Augusta, GA 30912 | 2020-06-11 |
| 1487278909 | Robert Kennedy | Internal Medicine | Augusta University Internal Medicine Residency Program, 1120 15th Street, Bi 5070, Augusta, GA 30912 | 2020-06-01 |
| 1952968737 | Kayla M. Lasota | Pediatrics | 11230 115th St Ae3042, Augusta, GA 30912 | 2019-05-28 |
| 1003379280 | Kayla Cox | Internal Medicine | 1120 15th St Bi5070, Augusta, GA 30912 | 2019-04-13 |
| 1619435740 | Justin Ray Mackert | Student in an Organized Health Care Education/Training Program | Augusta University, 1120 15th Street, Gc 5110, Augusta, GA 30912 | 2019-03-07 |
| 1417444167 | Victor Celis | Dentist | John Wesley Gilbert Dr, Augusta, GA 30912 | 2018-04-18 |
| 1487157921 | Julie Ann Matsen | Student in an Organized Health Care Education/Training Program | 997 St. Sebastian Way, Eg-2021-10, Augusta Univ., Dept. of Psychiatry & Health Behavior, Augusta, GA 30912 | 2018-03-12 |
| 1497287031 | Luke Yuung-jier Chang | Ophthalmology | 1120 15th St # Ba2720, Augusta, GA 30912 | 2017-04-02 |
| 1821537622 | Lashawn Kay Boone | Nurse Practitioner | 1445 Harper St, Augusta, GA 30912 | 2017-02-14 |
| 1134675564 | Arnab Saha | Internal Medicine | 1120 15 Th St., Augusta, GA 30912 | 2016-08-26 |
| Find all providers in zip 30912 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407349103 | Ahmed Babiker | Psychiatry & Neurology | 1130 15th St, Augusta, GA 30912-0004 | 2018-06-07 |
| 1841580685 | Elizabeth Kim Rutkowski | Psychiatry & Neurology | 1120 15th St Neurology Dept, Augusta, GA 30912-2204 | 2011-04-13 |
| 1942590872 | Alexis Bashinski Shaefer | Psychiatry & Neurology | 1210 Roy Rd, Augusta, GA 30909-1812 | 2011-04-12 |
| 1083813398 | Martha Easler Nichols | Psychiatry & Neurology | 2411 Mcdowell St, Augusta, GA 30904-4635 | 2007-07-16 |
| 1699813741 | Edward Martin Mendoza | Psychiatry & Neurology | 3556 Pebble Beach Dr, Augusta, GA 30907-9520 | 2007-02-01 |
| 1053419184 | Augusta Neurology Pa | Psychiatry & Neurology | 55 Middle Street, Suite 1, Augusta, ME 04330 | 2006-09-20 |
| 1821027665 | Ranjit K Sethi Md PC | Psychiatry & Neurology | 820 St Sebastian Way, Suite 5c, Augusta, GA 30901 | 2006-07-02 |
| 1649222712 | Benjamin Bashinski, IIi | Psychiatry & Neurology | 1210 Roy Road, Augusta, GA 30909 | 2006-05-17 |
| 1609850650 | Veena U Jerath | Psychiatry & Neurology | 1228 Augusta West Pkwy, Augusta, GA 30909-1854 | 2005-12-02 |
| 1861482390 | Matthew Christopher Smith | Psychiatry & Neurology | 3623 J Dewey Gray Cir Ste 210, Augusta, GA 30909-6554 | 2005-10-26 |
| Find all providers in AUGUSTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.