Active NPI
David Lee Abernethy, MD
- Family Medicine Physician
- Hudson, NC
National Provider Identifier
1790785798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20865
- Practice address
- 109 Fairway Shopping Ctr
Hudson, NC 28638-2440 - Phone
- (828) 754-8482
- Fax
- (828) 754-4456
- NPI assigned
- Aug 1, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20865 | NC | Primary |
Addresses
Primary practice location
109 Fairway Shopping Ctr
Hudson, NC 28638-2440
Mailing address
PO Box 794
Hudson, NC 28638-0794
Phone (828) 754-8482
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100111000768 | NC | Practitioner - Family Practice | 7113068255 | Practice locations: Lenoir, NC |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20865 | NC | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680480000000",
"number": "1790785798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 794",
"city": "HUDSON",
"state": "NC",
"postal_code": "286380794",
"telephone_number": "828-754-8482",
"fax_number": "828-754-4456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 FAIRWAY SHOPPING CTR",
"city": "HUDSON",
"state": "NC",
"postal_code": "286382440",
"telephone_number": "828-754-8482",
"fax_number": "828-754-4456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABERNETHY",
"first_name": "DAVID",
"middle_name": "LEE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-01",
"last_updated": "2023-04-03",
"certification_date": "2023-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "20865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hudson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.