Active NPI
Stephen Tyler Abbott, D.O.
- Internal Medicine Physician
- Sanford, NC
National Provider Identifier
1013216282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2016-01108
- Practice address
- 1135 Carthage St
Sanford, NC 27330-4162 - Phone
- (919) 774-2350
- Fax
- (919) 774-2132
- NPI assigned
- Mar 27, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 2016-01108 | NC | |
| Hospitalist Physician | 208M00000X | 2016-01108 | NC | |
| Internal Medicine Physician | 207R00000X | 2016-01108 | NC | Primary |
Addresses
Primary practice location
1135 Carthage St
Sanford, NC 27330-4162
Mailing address
260 Leigh Farm Rd Apt 401
Durham, NC 27707-8127
Phone (401) 480-4859
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- West Virginia School of Osteopathic Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
557 Brookdale Dr
Statesville, NC 28677-4107
Phone (704) 873-5661
Hospital & facility affiliations
- Hospice of Iredell County, Inc
- Iredell Memorial Hospital Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016-01108 | NC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimed Hospitalists | Internal Medicine | Current | Accepting new patients |
| Optimed Hospitalists | Hospitalist | Current | Accepting new patients |
Locations
557 Brookdale Dr
Statesville, NC 28677
Phone (330) 445-4361
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hospitalist Physician
- Statesville, NC
- NPI 1235449125
-
- Internal Medicine Physician
- Davidson, NC
- NPI 1477942613
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Statesville, NC
- NPI 1336243997
-
- General Acute Care Hospital
- Statesville, NC
- NPI 1417944224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495152000000",
"number": "1013216282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 LEIGH FARM RD APT 401",
"city": "DURHAM",
"state": "NC",
"postal_code": "277078127",
"telephone_number": "401-480-4859",
"fax_number": "919-774-2132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 CARTHAGE ST",
"city": "SANFORD",
"state": "NC",
"postal_code": "273304162",
"telephone_number": "919-774-2350",
"fax_number": "919-774-2132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABBOTT",
"first_name": "STEPHEN",
"middle_name": "TYLER",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-27",
"last_updated": "2017-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NC",
"license": "2016-01108",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NC",
"license": "2016-01108",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2016-01108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sanford, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.