Active NPI
Lindsay T Abernethy, PA-C
- Physician Assistant
- Savannah, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 006851
- Practice address
- 14089 Abercorn St
Savannah, GA 31419-1966 - Phone
- (912) 350-2121
- Fax
- (912) 350-2145
- NPI assigned
- Mar 27, 2009
- Last updated
- Sep 23, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 006851 | GA | Primary |
| Physician Assistant | 363A00000X | 1770 | TN | |
| Physician Assistant | 363A00000X | 10906 | MN | |
| Medical Physician Assistant | 363AM0700X | 15-01302 | KS |
Addresses
Primary practice location
14089 Abercorn St
Savannah, GA 31419-1966
Mailing address
14089 Abercorn St
Savannah, GA 31419-1966
Phone (912) 350-2121
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003145002A | Medicaid | GA | |
| 1031975002 | Other | TN | CAHABA MEDICARE |
| P01304946 | Other | GA | RAILROAD MEDICARE |
| 003145002C | Medicaid | GA | |
| 003145002B | Medicaid | GA | |
| 1516444 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10906 | MN | MD | Physician Assistant |
| 1770 | TN | MD | Physician Assistant |
| 15-01302 | KS | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care PA | Current | Accepting new patients | |
| MPPG, Inc. | Past | Accepting new patients | |
| Primecare Now of Columbia | Physician Assistant | Past | Accepting new patients |
| North Memorial Health Care | Past | Accepting new patients | |
| North Memorial Health Care | Past | Accepting new patients | |
| North Memorial Health Care | Past | Accepting new patients |
Locations
688 Spring St NW
Atlanta, GA 30308
Phone (404) 881-1155
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.
-
dba Concentra Urgent Care
- Urgent Care Clinic/Center
- Addison, TX
- NPI 1710168117
-
dba Rehabilitation Medicine
- Physical Medicine & Rehabilitation Physician
- Savannah, GA
- NPI 1073680070
-
- Clinic/Center
- Blaine, MN
- NPI 1841995552
-
dba North Memorial Health Specialty Clinic
- Medical Specialty Clinic/Center
- Robbinsdale, MN
- NPI 1871927715
-
dba North Memorial Health - Minnetonka Medical Center
- Primary Care Clinic/Center
- Minnetonka, MN
- NPI 1952732729
-
- Physician Assistant
- Columbia, TN
- NPI 1528201126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411430400000",
"number": "1407098189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14089 ABERCORN ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314191966",
"telephone_number": "912-350-2121",
"fax_number": "912-350-2145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14089 ABERCORN ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314191966",
"telephone_number": "912-350-2121",
"fax_number": "912-350-2145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABERNETHY",
"first_name": "LINDSAY",
"middle_name": "T",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-27",
"last_updated": "2014-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "006851",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "1770",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": "10906",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "KS",
"license": "15-01302",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003145002A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAHABA MEDICARE",
"identifier": "1031975002",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01304946",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003145002C",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003145002B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1516444",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
- Abercorn Family Dental LLC
- Abercorn Family Medical Center
- Abercorn Rehabilitation Center, LLC (Abercorn Rehabilitation Center)
- Amy Suzanne Abernathy, RPH
- Janice Elise Abernathy
- Abby Tubman Abisogun, M.D.
- Akinniran Adedamola Abisogun, M.D.
- Julia Ableitner
- Ablemed Supply (AbleMed Supply, LLC.)
- Marcus Abrams
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; 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.