Individual provider Active NPI

Abbey Johnson Dichiara, NP

  • Nurse Practitioner
  • Columbus, MS
National Provider Identifier
1275907354
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R888625 Issued in MS
Practice address
2323 5TH St N
Columbus, MS 39705-2213
Phone
(662) 368-1169
Fax
(662) 570-1492
NPI assigned
Nov 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R888625 MS Primary
Family Nurse Practitioner 363LF0000X 20721 TN

Addresses

Primary practice location

2323 5TH St N
Columbus, MS 39705-2213

Mailing address

2323 5TH St N
Columbus, MS 39705-2213
Phone (662) 368-1169

Other practice location 1

255 Baptist Blvd Ste 402
Columbus, MS 39705-2006
Phone (662) 240-1412

Other practice location 2

8060 Wolf River Blvd
Germantown, TN 38138-1727
Phone (901) 271-1000

Other practice location 3

2323 5th St N
Columbus, MS 39705-2213
Phone (662) 368-1169

Other identifiers 1

IdentifierTypeStateIssuer
20721OtherTNAPN -TN LICENSE

Other names 1

  • Abbey Johnson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20151229000502 MS Practitioner - Nurse Practitioner 7810298924 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
King and Associates Cardiology PLLCGroup PAC ID 8123352168, 4 clinicians

Practice addresses (Care Compare)

425 Hospital Dr
Suite 4B
Columbus, MS 39705-1901
Phone (662) 368-1169

Hospital & facility affiliations

  • BMH-Golden Triangle Hospital, Columbus, MS, CCN 250100

Merit-based Incentive Payment System (MIPS)

Final score
93.83 of 100Reported as group
Quality
100
Improvement activities
40
Cost
79.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
King and Associates Cardiology PLLC CurrentSince Jun 3, 2019 Accepting new patients
Stern Cardiovascular Center, PA Current Accepting new patients
North Mississippi Vascular Care, LLC CurrentSince Jan 1, 2021 Accepting new patients
Cardiac Imaging Inc Past Accepting new patients

Locations

3001 Palm Harbor Blvd
Ste A
Palm Harbor, FL 34683

425 Hospital Dr
Ste 4B
Columbus, MS 39705
Phone (662) 368-1169

425 Hospital Dr
Ste 4A
Columbus, MS 39705
Phone (662) 368-1169

2323 5th St N
Columbus, MS 39705
Phone (662) 214-8331

425 Hospital Dr
Ste A
Columbus, MS 39705

200 State Highway 30 W
New Albany, MS 38652
Phone (601) 534-7631

7362 Southcrest Pkwy
Southaven, MS 38671
Phone 90127110002272

8060 Wolf River Blvd
Memphis, TN 38138
Phone (901) 271-2272

Interoperability endpoints

  • Direct secure messaging: abbey.dichiara.1@33074.direct.athenahealth.com

Organizations & group practices 4

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": "1448841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1275907354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 5TH ST N",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052213",
            "telephone_number": "662-368-1169",
            "fax_number": "662-570-1492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 5TH ST N",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052213",
            "telephone_number": "662-368-1169",
            "fax_number": "662-570-1492"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 Baptist Blvd Ste 402",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "MS",
            "postal_code": "397052006",
            "country_code": "US",
            "telephone_number": "662-240-1412",
            "fax_number": "662-240-1949",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8060 Wolf River Blvd",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381381727",
            "country_code": "US",
            "telephone_number": "901-271-1000",
            "fax_number": "901-271-4135",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2323 5th St N",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "MS",
            "postal_code": "397052213",
            "country_code": "US",
            "telephone_number": "662-368-1169",
            "fax_number": "662-570-1492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICHIARA",
        "first_name": "ABBEY",
        "middle_name": "JOHNSON",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-30",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R888625",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "20721",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APN -TN LICENSE",
            "identifier": "20721",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABBEY",
            "last_name": "JOHNSON",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, MS

Sources for this page

Verify at the official NPI Registry.