Individual provider Active NPI

Abigail Barrett Dudley

  • Family Medicine Physician
  • Huntsville, AL
National Provider Identifier
1760179360
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1-181561 Issued in AL
Practice address
4704 Whitesburg Dr SW Ste 201
Huntsville, AL 35802-1681
Phone
(256) 489-5215
Fax
(256) 489-5700
NPI assigned
Apr 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1-181561 AL Primary

Addresses

Primary practice location

4704 Whitesburg Dr SW Ste 201
Huntsville, AL 35802-1681

Mailing address

4704 Whitesburg Dr SW Ste 201
Huntsville, AL 35802-1681
Phone (256) 489-5215

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230921002487 AL Practitioner - Nurse Practitioner 4981058195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jeffery Garrard, M.D., P.C.Group PAC ID 3577636588, 2 clinicians

Practice addresses (Care Compare)

4704 Whitesburg Dr SW
Suite 201
Huntsville, AL 35802-1681
Phone (256) 489-5215

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1760179360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4704 WHITESBURG DR SW STE 201",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021681",
            "telephone_number": "256-489-5215",
            "fax_number": "256-489-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4704 WHITESBURG DR SW STE 201",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021681",
            "telephone_number": "256-489-5215",
            "fax_number": "256-489-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDLEY",
        "first_name": "ABIGAIL",
        "middle_name": "BARRETT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-04-24",
        "certification_date": "2023-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "1-181561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.