Individual provider Active NPI

Abigail Diane Johnson, CNM, APRN

  • Advanced Practice Midwife
  • Greenville, SC
National Provider Identifier
1679710768
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
M02112 CNM Issued in AR
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

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220601000281 AR Practitioner - Certified Nurse Midwife (CNM) 8325188279 Reassigns benefits to 3 organizations
I20251015001414 MO Practitioner - Certified Nurse Midwife (CNM) 8325188279 Reassigns benefits to 1 organization

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
Obhg Missouri PCGroup PAC ID 4789839689, 14 clinicians

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

LicenseStateTypeSpecialty
A03189ARMDWomen's Health Nurse Practitioner
M02112 CNMARMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Nicole M. Scally MD PA CurrentSince Feb 25, 2022 Accepting new patients
Obhg Arkansas West PA CurrentSince Sep 12, 2023 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Jul 17, 2023 Accepting new patients
Obhg Missouri, PC CurrentSince Jul 19, 2025 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Jul 17, 2023 Accepting new patients
Maternity Center of Northwest Arkansas LLC Advanced Practice Midwife PastSince Jul 24, 2022 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.

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

Verify at the official NPI Registry.