Individual provider Active NPI

Lisa P Abraham, MD

  • Pediatrics Physician
  • Hendersonville, NC
National Provider Identifier
1699952671
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2018-00393 Issued in NC
Practice address
110 Chadwick Square CT Ste a
Hendersonville, NC 28739-3238
Phone
(828) 698-8135
Fax
(828) 698-8518
NPI assigned
Jan 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Epilepsy Physician 2084E0001X 2018-00393 NC
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 256386 NY
Pediatrics Physician 208000000X 2018-00393 NC Primary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 2018-00393 NC

Addresses

Primary practice location

110 Chadwick Square CT Ste a
Hendersonville, NC 28739-3238

Mailing address

711 Troy Schenectady Rd
Suite 203
Latham, NY 12110-2442
Phone (518) 782-3700

Other practice location 1

1783 Route 9
Suite 101
Halfmoon, NY 12065-2409
Phone (518) 782-3810

Other identifiers 1

IdentifierTypeStateIssuer
02974954MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190401001897 NC Practitioner - NeurologyPractitioner - Pediatric Medicine 5991876914 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Community Health Services Inc CurrentSince Jan 19, 2019 Accepting new patients
Blue Ridge Community Health Services, Inc. CurrentSince Jan 19, 2019 Accepting new patients
Blue Ridge Community Health Services, Inc. Past Accepting new patients
Blue Ridge Community Health Services, Inc Past Accepting new patients
Community Care Physicians, PC Past Accepting new patients
Blue Ridge Community Health Services, Inc Past Accepting new patients
Blue Ridge Community Health Services, Inc Past Accepting new patients
Blue Ridge Community Health Services, Inc. Past Accepting new patients
Blue Ridge Community Health Services Inc. Pediatrics Past Accepting new patients
Blue Ridge Community Health Services Inc Past Accepting new patients
Blue Ridge Community Health Services, Inc. Past Accepting new patients
Blue Ridge Community Health Services, Inc Past Accepting new patients
Blue Ridge Community Health Services, Inc. Past Accepting new patients
Blue Ridge Community Health Services Inc Past Accepting new patients

Locations

303 Airport Rd
Arden, NC 28704
Phone (828) 698-2979

29 W French Broad St
Ste 202
Brevard, NC 28712
Phone (828) 883-5550

69 N Broad St
Brevard, NC 28712
Phone (828) 883-2708

264 Highway 19 S
Ste 4
Bryson City, NC 28713
Phone (828) 341-1060

490 Hospital Dr
Clyde, NC 28721
Phone (828) 213-9729

161 Walker St
Columbus, NC 28722
Phone (828) 894-2222

674 Highlands Rd
Franklin, NC 28734
Phone (828) 349-0001

110 Chadwick Square Ct
Ste C
Hendersonville, NC 28739
Phone (828) 698-8135

110 Chadwick Square Ct
Ste A
Hendersonville, NC 28739
Phone (828) 617-9122

709 N Justice St
Ste B
Hendersonvlle, NC 28791
Phone (828) 696-1255

2579 Chimney Rock Rd
Hendersonvlle, NC 28792
Phone (828) 692-3106

628 7th Ave E
Hendersonvlle, NC 28792
Phone (828) 696-8263

209 Hospital Dr
Highlands, NC 28741
Phone (828) 482-6160

146 Nesbitt Rdg
Lake Lure, NC 28746
Phone (828) 625-4400

187 W Main St
Spindale, NC 28160
Phone (828) 288-2881

44 Bonnie Ln
Sylva, NC 28779
Phone (828) 339-3999

293 Hospital Rd
Ste B
Sylva, NC 28779
Phone (828) 631-8711

293 Hospital Rd
Sylva, NC 28779
Phone (828) 477-4334

307 Broadview Rd
Waynesville, NC 28786
Phone (828) 452-9258

131 Walnut St
Waynesville, NC 28786
Phone (828) 456-8604

Interoperability endpoints

  • Direct secure messaging: labraham457148@direct.unc.nchie.net
  • Direct secure messaging: lisa.abraham.1@21884.direct.athenahealth.com

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1699952671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 TROY SCHENECTADY RD",
            "address_2": "SUITE 203",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102442",
            "telephone_number": "518-782-3700",
            "fax_number": "518-782-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CHADWICK SQUARE CT STE A",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287393238",
            "telephone_number": "828-698-8135",
            "fax_number": "828-698-8518"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1783 Route 9",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Halfmoon",
            "state": "NY",
            "postal_code": "120652409",
            "country_code": "US",
            "telephone_number": "518-782-3810",
            "fax_number": "518-782-3838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "LISA",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-22",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084E0001X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Epilepsy",
            "state": "NC",
            "license": "2018-00393",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NY",
            "license": "256386",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2018-00393",
            "primary": true
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NC",
            "license": "2018-00393",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02974954",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

Verify at the official NPI Registry.