Abigail Elizabeth Bagwell

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

3136 Golf Ridge Blvd
Douglasville, GA 30135-1952

Phone

(877) 288-4760

NPI assigned

Dec 21, 2022

Last updated

Dec 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Dogwood Autism Services, LLC

  • Behavior Analyst
  • Atlanta, GA
  • NPI 1437674587
  NPD (past)

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

{
    "created_epoch": "1671580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1699487629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7960 BEREA RD",
            "city": "WINSTON",
            "state": "GA",
            "postal_code": "301871049",
            "telephone_number": "678-435-3218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3136 GOLF RIDGE BLVD",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301351952",
            "telephone_number": "877-288-4760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGWELL",
        "first_name": "ABIGAIL",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-21",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Babbling Brook Mentor & Counseling Services LLC
• Tami Lynn Backstrom, L.M.T
• Robert E Badwey, MD
• Christopher John Baggett, D.C.
• Wilhelmina Bagsby, MSW
• Louise Bailey-Walker, LPC
• Ebony Star Baker-Moore, EDD,LPC,MFT
• Monica Lindsey Ballard
• Tonika M Ballard
• Daisy Bisola Balogun, WHNP-BC

• Behavior Technician in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Behavior Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; 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.