Active NPI
Abigail Diane Johnson, CNM, APRN
- Advanced Practice Midwife
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- M02112 CNM
- Practice address
- OB Hospitalist Group
777 Lowndes Hill Rd. BLDG. 1
Greenville, SC 29607 - Phone
- (864) 908-3530
- NPI assigned
- Jan 12, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | A03189 | AR | |
| Advanced Practice Midwife | 367A00000X | M02112 CNM | AR | Primary |
Addresses
Primary practice location
OB Hospitalist Group
777 Lowndes Hill Rd. BLDG. 1
Greenville, SC 29607
Mailing address
720 S. 3Rd St.
Roges, AR 72756
Phone (479) 640-0451
Other names 1
- Abigail Diane Skinner
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1235 E Cherokee St
Springfield, MO 65804-2203
Phone (800) 967-2289
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A03189 | AR | MD | Women's Health Nurse Practitioner |
| M02112 CNM | AR | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nicole M. Scally MD PA | Current | Accepting new patients | |
| Obhg Arkansas West PA | Current | Accepting new patients | |
| Mercy Clinic Fort Smith Communities | Current | Accepting new patients | |
| Obhg Missouri, PC | Current | Accepting new patients | |
| Mercy Clinic Fort Smith Communities | Current | Accepting new patients | |
| Maternity Center of Northwest Arkansas LLC | Advanced Practice Midwife | Past | Accepting new patients |
Locations
7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620
7001 Rogers Ave
Ste 403
Fort Smith, AR 72903
Phone (479) 573-3101
7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600
5302 W Village Pkwy
Ste 3
Rogers, AR 72758
Phone (479) 282-2737
2000 S Promenade Blvd
Ste 202
Rogers, AR 72758
Phone (479) 282-2737
2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360
1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115
777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736
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 and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Springfield, MO
- NPI 1154672095
-
- Multi-Specialty Clinic/Center
- Fort Smith, AR
- NPI 1902073620
-
- Family Medicine Physician
- Rogers, AR
- NPI 1891186193
-
- Obstetrics & Gynecology Physician
- Bentonville, AR
- NPI 1518421767
-
- Endocrinology, Diabetes & Metabolism Physician
- Fort Smith, AR
- NPI 1790258002
-
- Birthing Clinic/Center
- Rogers, AR
- NPI 1710225099
Advanced Practice Midwife
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694390400000",
"number": "1679710768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 S. 3RD ST.",
"city": "ROGES",
"state": "AR",
"postal_code": "72756",
"telephone_number": "479-640-0451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "OB HOSPITALIST GROUP",
"address_2": "777 LOWNDES HILL RD. BLDG. 1",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "29607",
"telephone_number": "864-908-3530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "ABIGAIL",
"middle_name": "DIANE",
"credential": "CNM, APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-12",
"last_updated": "2023-09-11",
"certification_date": "2023-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "AR",
"license": "A03189",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "AR",
"license": "M02112 CNM",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ABIGAIL",
"last_name": "SKINNER",
"middle_name": "DIANE",
"credential": "CNM, WHNP-BC, MSN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.