Individual provider Active NPI

Amy Abouzied, MD

  • Gynecology Physician
  • Lenoir, NC
National Provider Identifier
1316079874
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
MD453307 Issued in PA
Practice address
906 College Ave SW Ste a
Lenoir, NC 28645-5428
Phone
(828) 757-3301
NPI assigned
Mar 11, 2007
Last updated
Mar 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X MD453307 PA Primary

Addresses

Primary practice location

906 College Ave SW Ste a
Lenoir, NC 28645-5428

Mailing address

906 College Ave SW Ste a
Lenoir, NC 28645-5428

Other practice location 1

3998 Red Lion Rd
Suite 106
Philadelphia, PA 19114-1445
Phone (215) 612-4143

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aabouzied602882@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200206001043 NC Practitioner - Obstetrics/Gynecology 5496870198 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Wayne State University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Caldwell Memorial Hospital IncGroup PAC ID 5395646970, 212 clinicians

Practice addresses (Care Compare)

906 College Ave SW
Suite a
Lenoir, NC 28645-5428
Phone (828) 757-3301

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Suburban Gynecology, LLC Current Accepting new patients
Caldwell Memorial Hospital, Inc CurrentSince Jan 7, 2020 Accepting new patients
Caldwell Memorial Hospital Inc. CurrentSince Jan 7, 2020 Accepting new patients
Caldwell Memorial Hospital, Inc Current Accepting new patients
Caldwell Memorial Hospital, Inc Current Accepting new patients
Caldwell Memorial Hospital, Inc Past Accepting new patients

Locations

1200 Maple Rd
Joliet, IL 60432
Phone (815) 740-1100

16615 S Route 59
Plainfield, IL 60586
Phone (815) 436-7303

1131 W Jefferson St
Shorewood, IL 60404

4355 Hickory Blvd
Ste 1
Granite Falls, NC 28630
Phone (828) 757-8251

906 College Ave SW
Ste A
Lenoir, NC 28645
Phone (828) 757-3301

Interoperability endpoints

  • Direct secure messaging: aabouzied602882@direct.unc.nchie.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1173571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1316079874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 COLLEGE AVE SW STE A",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 COLLEGE AVE SW STE A",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455428",
            "telephone_number": "828-757-3301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3998 Red Lion Rd",
            "address_2": "Suite 106",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191141445",
            "country_code": "US",
            "telephone_number": "215-612-4143",
            "fax_number": "215-612-4909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABOUZIED",
        "first_name": "AMY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-11",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "PA",
            "license": "MD453307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aabouzied602882@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "906 College Ave SW Ste A",
            "city": "Lenoir",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286455428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lenoir, NC

Sources for this page

Verify at the official NPI Registry.