Active NPI
Daryl Abney, PAS-C
- Medical Physician Assistant
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 003193
- Practice address
- 55 Whitcher St NE
Suite 350
Marietta, GA 30060-1155 - Phone
- (770) 424-6893
- Fax
- (678) 819-0357
- NPI assigned
- Mar 16, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
- Surgery of the Hand (Surgery) Physician
- Acworth, GA
- NPI 1326333907
-
- Specialist
- Atlanta, GA
- NPI 1598051054
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wellstar Medical Group LLC
Practice addresses (Care Compare)
5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222
625 Church Nest
Marietta, GA 30060-1101
Phone (770) 422-2004
677 Church Nest
Marietta, GA 30060-1101
677 Church St NE
Suite 100P
Marietta, GA 30060-1101
Phone (470) 793-8585
Hospital & facility affiliations
- Wellstar Kennestone Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040727000751 | GA | Practitioner - Physician Assistant | 8022088277 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 673 | GA | MD | Addiction (Substance Use Disorder) Counselor |
| 003193 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| The Lung Centers of Georgia | Past | Accepting new patients |
Locations
1700 Hospital South Dr
Ste 202
Austell, GA 30106
Phone (770) 793-7440
40 Fox Chase
Cartersville, GA 30120
Phone (678) 400-2621
8901 Stonebridge Blvd
Ste 100
Douglasville, GA 30134
Phone (404) 266-9876
5150 Stilesboro Rd NW
Ste 120
Kennesaw, GA 30152
Phone (678) 354-0230
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
805 Sandy Plains Rd
Marietta, GA 30066
Phone (770) 792-1616
55 Whitcher St NE
Ste 350
Marietta, GA 30060
400 Tower Rd NE
Ste 200
Marietta, GA 30060
Phone (770) 514-7550
Interoperability endpoints
- dabney6264@directwellstar.org
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 003193 | GA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
55 Whitcher St NE
Suite 350
Marietta, GA 30060-1155
Mailing address
55 Whitcher St NE
Suite 350
Marietta, GA 30060-1155
Phone (770) 424-6893
Other identifiers 5
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 596102594C | Medicaid | GA | |
| 596102594F | Medicaid | GA | |
| 596102594D | Medicaid | GA | |
| 596102594B | Medicaid | GA | |
| 596102594E | Medicaid | GA |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 11, 2012.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339372800000",
"number": "1578532016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 WHITCHER ST NE",
"address_2": "SUITE 350",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601155",
"telephone_number": "770-424-6893",
"fax_number": "678-819-0357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 WHITCHER ST NE",
"address_2": "SUITE 350",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601155",
"telephone_number": "770-424-6893",
"fax_number": "678-819-0357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABNEY",
"first_name": "DARYL",
"credential": "PAS-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-16",
"last_updated": "2012-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "GA",
"license": "003193",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "596102594C",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "596102594F",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "596102594D",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "596102594B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "596102594E",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.