NPIMap

Organization Active NPI

Midnight Rose, LLC

Doing business as AbbyCare

  • General Practice Physician
  • Acworth, GA
National Provider Identifier
1386260131
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MIDNIGHT ROSE, LLC
Doing business as
AbbyCare
Practice address
6380 Bells Ferry Rd Ste 107
Acworth, GA 30102-5435
Phone
(404) 835-0827
NPI assigned
Jun 17, 2020
Last updated
Dec 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Authorized official

Name
Christina Abernathy
Title
Chief Operations Officer
Phone
(404) 835-0827

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

6380 Bells Ferry Rd Ste 107
Acworth, GA 30102-5435

Mailing address

6380 Bells Ferry Rd Ste 107
Acworth, GA 30102-5435
Phone (404) 835-0827

Other names 1

  • AbbyCare Doing business as

National Provider Directory

National Provider Directory

Locations

6380 Bells Ferry Rd
Acworth, GA 30102
Phone (404) 989-7384

6380 Bells Ferry Rd
Ste 107
Acworth, GA 30102
Phone (404) 989-7384

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606953600000",
    "number": "1386260131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6380 BELLS FERRY RD STE 107",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301025435",
            "telephone_number": "404-835-0827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6380 BELLS FERRY RD STE 107",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301025435",
            "telephone_number": "404-835-0827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDNIGHT ROSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-17",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A",
        "authorized_official_last_name": "ABERNATHY",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "404-835-0827"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AbbyCare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AbbyCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Acworth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.