Active NPI
Abigail Nevitt, PA-C
- Physician Assistant
- Gainesville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 007952
- Practice address
- 520 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3779 - Phone
- (770) 287-0290
- NPI assigned
- Jan 24, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 007952 | GA | Primary |
Addresses
Primary practice location
520 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3779
Mailing address
PO Box 459
Colbert, GA 30628-0459
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11 Charlie Morris Rd
Colbert, GA 30628-2445
Phone (706) 788-2127
520 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3779
Phone (770) 287-0290
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medlink Georgia Inc | Current | Accepting new patients | |
| Medlink Georgia, Inc | Current | Accepting new patients | |
| Medlink Georgia Inc | Past | Accepting new patients |
Locations
11 Charlie Morris Rd
Bldg 2
Colbert, GA 30628
Phone (706) 738-3234
11 Charlie Morris Rd
Colbert, GA 30628
Phone (706) 738-3234
520 Jesse Jewell Pkwy SE
Gainesville, GA 30501
Phone (770) 287-0290
980 Lawrenceville Hwy
Lawrenceville, GA 30046
Phone (770) 676-6500
Interoperability endpoints
- abigail.nevitt@mgi.eclinicaldirectplus.com
- abigail.nelson.1@9864.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Colbert, GA
- NPI 1396794541
-
- Podiatric Clinic/Center
- Commerce, GA
- NPI 1619627460
-
- Federally Qualified Health Center (FQHC)
- Colbert, GA
- NPI 1669951414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546387200000",
"number": "1205373685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 459",
"city": "COLBERT",
"state": "GA",
"postal_code": "306280459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 JESSE JEWELL PKWY SE",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305013779",
"telephone_number": "770-287-0290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEVITT",
"first_name": "ABIGAIL",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-24",
"last_updated": "2019-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "007952",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; 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.