Individual provider Active NPI

Abigail Brown, FNP

  • Nurse Practitioner
  • Concord, NC
National Provider Identifier
1790400943
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5016907 Issued in NC
Practice address
200 Medical Park Dr Ste 400
Concord, NC 28025-0939
Phone
(704) 786-1108
Fax
(704) 782-1826
NPI assigned
Oct 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5016907 NC
Nurse Practitioner 363L00000X 5016907 NC Primary

Addresses

Primary practice location

200 Medical Park Dr Ste 400
Concord, NC 28025-0939

Mailing address

200 Medical Park Dr Ste 400
Concord, NC 28025-0939
Phone (704) 786-1108

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230627001205 NC Practitioner - Nurse Practitioner 2668830449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Surgical Specialists PAGroup PAC ID 4688636657, 17 clinicians

Practice addresses (Care Compare)

200 Medical Park Dr
Suite 400
Concord, NC 28025-0906
Phone (704) 786-1108

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Surgical Specialists, PA CurrentSince Jul 17, 2023 Accepting new patients
Camino Community Development Corporation Nurse Practitioner PastSince Oct 1, 2022 Accepting new patients

Locations

200 Medical Park Dr
Ste 400
Concord, NC 28025
Phone (704) 786-1108

Organizations & group practices 2

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.

Hospital & facility affiliations 8

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": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1790400943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MEDICAL PARK DR STE 400",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280250939",
            "telephone_number": "704-786-1108",
            "fax_number": "704-782-1826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL PARK DR STE 400",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280250939",
            "telephone_number": "704-786-1108",
            "fax_number": "704-782-1826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ABIGAIL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5016907",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5016907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

Verify at the official NPI Registry.