Christopher Munro Abbot, M.D.
Individual provider Active NPI Vascular Surgery Physician · Dalton, GA
NPI 1124056627 · NPPES record last updated Jan 4, 2022
Key facts
- NPI
- 1124056627
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Vascular Surgery Physician 2086S0129X
- License
- 058127 (GA)
- Practice address
- 1109 Burleyson Rd
Suite 202
Dalton, GA 30720-3094 - Phone
- (706) 277-1573
- Fax
- (706) 370-7715
- NPI assigned
- Jun 30, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Vascular Surgery
- Education
- Eastern Virginia Medical School, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Permanente Medical Group Inc
Practice addresses (Care Compare)
2025 Morse Ave
Sacramento, CA 95825-2115
Phone (916) 973-5000
6600 Bruceville Rd
Sacramento, CA 95823-4671
Phone (916) 688-2000
7373 W Lane
Stockton, CA 95210-3377
Phone (209) 476-2000
Hospital & facility affiliations
- Kaiser Foundation Hosp So Sacramento
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081016000300 | CA | Practitioner - Vascular Surgery | 5991701559 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105367 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Permanente Medical Group Inc | Current |
Accepting new patients | |
| Permanente Medical Group Inc | Current | Accepting new patients | |
| Permanente Medical Group, Inc | Current |
Accepting new patients |
Locations
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
6600 Bruceville Rd
Sacramento, CA 95823
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 058127 | GA | Yes |
Addresses
Primary practice location
1109 Burleyson Rd
Suite 202
Dalton, GA 30720-3094
Mailing address
1109 Burleyson Rd
Suite 202
Dalton, GA 30720-3094
Phone (706) 277-1573
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) | The Permanente Medical Group |
Other providers in Dalton, GA
- A Gem of Comfort
- A Gem of Comfort Home Health Services
- Kimberly Ann A'Hearn
- Aaron'S Orthopedic Massage, LLC
- Fnu Aayush
- Mostafa Abdallah
- Abeer Abdeldayem
- Yazeed Luai Ibrahim Abdulla
- Pamela S Abernathy
- Selwin John Abraham
All providers in Dalton, GA · Vascular Surgery Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.