Individual provider Active NPI

Lindsay T Abernethy, PA-C

  • Physician Assistant
  • Savannah, GA
National Provider Identifier
1407098189
Registry record updated Sep 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
006851 Issued in GA
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, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
003145002AMedicaidGA
1031975002OtherTNCAHABA MEDICARE
P01304946OtherGARAILROAD MEDICARE
003145002CMedicaidGA
003145002BMedicaidGA
1516444MedicaidTN

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10906MNMDPhysician Assistant
1770TNMDPhysician Assistant
15-01302KSMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Sources for this page

Verify at the official NPI Registry.