Individual provider Active NPI

Jonathan L Abbott, M.D.

  • Obstetrics & Gynecology Physician
  • Hopkinsville, KY
National Provider Identifier
1730455775
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
52531 Issued in KY
Practice address
1717 High St Ste 4B
Hopkinsville, KY 42240-6300
Phone
(270) 887-9058
Fax
(270) 887-9341
NPI assigned
Mar 23, 2012
Last updated
Apr 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 52531 KY Primary

Addresses

Primary practice location

1717 High St Ste 4B
Hopkinsville, KY 42240-6300

Mailing address

1717 High St Ste 4B
Hopkinsville, KY 42240-6300

Other practice location 1

251 Hopkinsville Rd
Russellville, KY 42276-1281
Phone (270) 887-9058

Other identifiers 1

IdentifierTypeStateIssuer
7100610630MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20190826002517 KY Practitioner - Obstetrics/Gynecology 8123242633 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of South Carolina School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jennie Stuart Medical Center IncGroup PAC ID 4183607252, 113 clinicians

Practice addresses (Care Compare)

1621 Nashville St
Suite 102
Russellville, KY 42276-8871
Phone (270) 887-9058

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Jennie Stuart Medical Center Inc Current Accepting new patients
Owensboro Health Medical Group Inc Current Accepting new patients
Owensboro Health Medical Group Inc CurrentSince Dec 2, 2024 Accepting new patients
Owensboro Health Medical Group, Inc. Obstetrics & Gynecology CurrentSince Dec 2, 2024 Accepting new patients
Obhg Kentucky, P.S.C. Obstetrics & Gynecology CurrentSince Dec 1, 2025 Accepting new patients
Jennie Stuart Medical Center Inc CurrentSince Dec 5, 2022 Accepting new patients
Jennie Stuart Medical Center Inc CurrentSince Dec 5, 2022 Accepting new patients
Jennie Stuart Medical Center Past Accepting new patients

Locations

102 W 18th St
Hopkinsville, KY 42240
Phone (270) 707-2100

10755 Eagle Way
Ste 202
Hopkinsville, KY 42240
Phone (270) 887-5640

1717 High St
Ste 4B
Hopkinsville, KY 42240
Phone (270) 885-8003

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000

2200 E Parrish Ave
Bldg E
Owensboro, KY 42303
Phone (270) 663-1304

2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351

1621 Nashville St
Ste 102
Russellville, KY 42276
Phone (270) 726-6428

251 Hopkinsville Rd
Russellville, KY 42276
Phone (270) 887-9058

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1332460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1730455775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 HIGH ST STE 4B",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422406300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 HIGH ST STE 4B",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422406300",
            "telephone_number": "270-887-9058",
            "fax_number": "270-887-9341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "251 Hopkinsville Rd",
            "address_purpose": "LOCATION",
            "city": "Russellville",
            "state": "KY",
            "postal_code": "422761281",
            "country_code": "US",
            "telephone_number": "270-887-9058",
            "fax_number": "270-726-2995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABBOTT",
        "first_name": "JONATHAN",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-23",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "52531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100610630",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkinsville, KY

Sources for this page

Verify at the official NPI Registry.