Thomas D Abbott, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0000-28452 Issued in NC

Practice address

12208 Hwy 150 N
Winston-Salem, NC 27127

Phone

(336) 764-2324

Fax

(336) 764-9541

NPI assigned

Jan 6, 2006

Last updated

Oct 25, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: tabbott5397@direct.novanthealth.org

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603584000000",
    "number": "1659359875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751803",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751803",
            "telephone_number": "336-764-2324",
            "fax_number": "336-764-9541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12208 HWY 150 N",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "27127",
            "telephone_number": "336-764-2324",
            "fax_number": "336-764-9541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBOTT",
        "first_name": "THOMAS",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2020-10-25",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "0000-28452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7910029",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tabbott5397@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "12208 Hwy 150 N",
            "city": "Winston-Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "27127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Yulia Yurevna Abair, FNP-BC, PMHNP- BC
• Brianna Nicole Abbate, LCMHCA
• Cynthia Abbott
• Eyvette La'Chella Abbott
• Latoya Delena Abbott, ANP
• Abc of NC Child Development Center
• Ahmed M Abdel-Raouf, MD
• Regina Abdou, LPC, LCAS
• Marwa Farouk Elmahdi Abdrabbou
• Mohammed Abdulhaleem, MD

• Family Medicine Physician in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.