Andrew H Abernathy III, M.D.
Individual provider Active NPI Internal Medicine Physician · Greensboro, GA
NPI 1720140551 · NPPES record last updated Aug 15, 2012
Key facts
- NPI
- 1720140551
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- GA 11257 (GA)
- Practice address
- 1000 Cowles Clinc Way Ste W-200
Greensboro, GA 30642-4539 - Phone
- (706) 923-2002
- NPI assigned
- Dec 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GA 11257 | GA | MD | Internal Medicine Physician |
| GA11257 | GA | MD | Cardiovascular Disease Physician |
| 11257 | GA | MD | Obstetrics & Gynecology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | GA 11257 | GA | Yes |
| Cardiovascular Disease Physician | 207RC0000X | GA11257 | GA |
Addresses
Primary practice location
1000 Cowles Clinc Way Ste W-200
Greensboro, GA 30642-4539
Mailing address
1000 Cowles Clinc Way Ste W-200
Greensboro, GA 30642-4539
Phone (706) 923-2002
Other providers in Greensboro, GA
- Linda Christine Abercrombie
- Advantage BHS
- Advantage BHS
- Air Evac EMS Inc
- Christopher Glynn Alligood
- American Oncology Associates, LLC
All providers in Greensboro, GA · Internal Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.