Fredrick H. Abernathy, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS5019 Issued in TN

Practice address

317 S 2ND St
Pulaski, TN 38478-3842

Phone

(931) 363-5417

Fax

(931) 363-4695

NPI assigned

Oct 18, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1285623769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 S 2ND ST",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384783842",
            "telephone_number": "931-363-5417",
            "fax_number": "931-363-4695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 S 2ND ST",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384783842",
            "telephone_number": "931-363-5417",
            "fax_number": "931-363-4695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABERNATHY",
        "first_name": "FREDRICK",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS5019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4816",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie Ann Abernathy, OTD
• Kentry S Adams, CRNA
• Adult Primary Healthcare LLC
• Advanced Diagnostic Imaging, PC
• Affordable Home Health LLC.

• All providers in Pulaski, TN
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.