Individual provider Active NPI

Abigail R Hill, PA-C

  • Physician Assistant
  • Germantown, TN
National Provider Identifier
1205583077
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4893 Issued in TN
Practice address
7656 Poplar Pike
Germantown, TN 38138-5941
Phone
(901) 333-2525
NPI assigned
Mar 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 4893 TN Primary

Addresses

Primary practice location

7656 Poplar Pike
Germantown, TN 38138-5941

Mailing address

95 Harbor Town SQ Apt 202
Memphis, TN 38103-8859
Phone (630) 815-5775

Other practice location 1

1264 Wesley Dr Ste 502
Memphis, TN 38116-6466
Phone (901) 333-2525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220429001421 TN Practitioner - Physician Assistant 8527455146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-State Orthopaedics, LLCGroup PAC ID 6406955947, 2 clinicians

Practice addresses (Care Compare)

1264 Wesley Dr
Suite 502
Memphis, TN 38116-6466
Phone (901) 346-5488

7656 Poplar Pike
Germantown, TN 38138-5941
Phone (901) 333-2525

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-State Orthopaedics, LLC CurrentSince Apr 1, 2022 Accepting new patients

Locations

7656 Poplar Pike
Germantown, TN 38138
Phone (901) 333-2525

1264 Wesley Dr
Ste 502
Memphis, TN 38116
Phone (901) 333-2525

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HCDIAD/Endpoint/HCDIAD

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1205583077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 HARBOR TOWN SQ APT 202",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381038859",
            "telephone_number": "630-815-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7656 POPLAR PIKE",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381385941",
            "telephone_number": "901-333-2525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1264 Wesley Dr Ste 502",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381166466",
            "country_code": "US",
            "telephone_number": "901-333-2525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILL",
        "first_name": "ABIGAIL",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-02",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "4893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.